Provider Demographics
NPI:1164840294
Name:DELL'ACQUA, ZACHARY (BS PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:DELL'ACQUA
Suffix:
Gender:M
Credentials:BS PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HARBORVIEW PL
Mailing Address - Street 2:
Mailing Address - City:CENTER MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11934-3416
Mailing Address - Country:US
Mailing Address - Phone:631-909-2224
Mailing Address - Fax:
Practice Address - Street 1:10 HARBORVIEW PL
Practice Address - Street 2:
Practice Address - City:CENTER MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11934-3416
Practice Address - Country:US
Practice Address - Phone:631-909-2224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-05
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst