Individual
MARK VECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 FAIR ST STE 9, KINGSTON, NY 12401-4561
(413) 203-4567
Mailing address
224 FAIR ST STE 9, KINGSTON, NY 12401-4561
(413) 203-4567
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001205
NY
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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