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Individual
LAURIE VACCARELLI
Active
Individual
LAURIE VACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03290888
—
NY
Enumeration date
10/26/2009
Last updated
06/09/2011
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