Provider Demographics
NPI:1275382368
Name:NEICE, ZACHARY DANIEL
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:DANIEL
Last Name:NEICE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 FAIRFAX DR APT 1501
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1135
Mailing Address - Country:US
Mailing Address - Phone:757-618-3694
Mailing Address - Fax:
Practice Address - Street 1:6196 OXON HILL RD STE 450
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3173
Practice Address - Country:US
Practice Address - Phone:301-839-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program