Organization
LIFE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VACCARO MD (PRESIDENT)
(212) 627-8870
Entity
Organization
Contact information
Practice address
161 AVENUE OF THE AMERICAS, 13 TH FLOOR, NEW YORK, NY 10013-1205
(212) 627-1222
Mailing address
146 W 22ND ST, APT 11, NEW YORK, NY 10011-2477
(212) 627-8870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150913
NY
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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