Organization
WEIGHTXMEDICAL P.C.
Active
Other names
weightxmedical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J VACCARIELLO M.D. (PHYSICIAN)
(631) 406-0001
Entity
Organization
Contact information
Practice address
200 MOTOR PKWY, D23, HAUPPAUGE, NY 11788-5100
(631) 406-0001
(516) 977-5514
Mailing address
200 MOTOR PKWY, D23, HAUPPAUGE, NY 11788-5100
(631) 406-0001
(516) 977-5514
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
104837
NY
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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