Provider Demographics
NPI:1396207593
Name:ANGELO ZIENO
Entity Type:Organization
Organization Name:ANGELO ZIENO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:SALVATORE
Authorized Official - Last Name:ZIENO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:402-315-9893
Mailing Address - Street 1:2225 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-5241
Mailing Address - Country:US
Mailing Address - Phone:402-315-9893
Mailing Address - Fax:855-825-2627
Practice Address - Street 1:2225 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-5241
Practice Address - Country:US
Practice Address - Phone:402-315-9893
Practice Address - Fax:855-825-2627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026765500Medicaid