Individual
DR. NICHOLAS JUSTIN VACCARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
Mailing address
PO BOX 5450, NEW YORK, NY 10087-5450
(718) 622-2608
(718) 622-5104
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
247484
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
247484
NY
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
247484
NY
Other
Enumeration date
02/14/2008
Last updated
03/07/2013
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