| Doctor Name: | DR. GREGORY R. ZACCONE |
| NPI Number: | 1861577421 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, MSPT, SCS |
| License Number: | 40QA01107700 |
| Business Practice Address: | 184 Central Ave 1st Floor Old Tappan, NJ - 076757360 |
| Business Phone Number: | 2019373600 |
| Business Fax Number: | 2017315192 |
| Mailing Address: | 1203 River Rd, Suite 5k EDGEWATER |
| State: | NJ |
| Postal Code: | 070201456 |
| Phone Number: | 2019373600 |
| Fax Number: | 2017315192 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01107700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |