Organization
BROOKLYN NUCLEAR SPECT IMAGING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALDO VACCARINO M.D. (PRESIDENT)
(718) 837-0010
Entity
Organization
Contact information
Practice address
11120 QUEENS BLVD, FOREST HILLS, NY 11375-6341
(718) 261-7600
Mailing address
1435 86TH ST, BROOKLYN, NY 11228-3403
(718) 837-0010
(718) 837-9797
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
170563-1
NY
207UN0901X
Nuclear Cardiology Physician
Primary
170563-1
NY
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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