Individual
WILLIAM M VACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2546 BALLTOWN RD, SUITE 203, SCHENECTADY, NY 12309-1079
(518) 377-8198
(518) 377-0620
Mailing address
2546 BALLTOWN RD, SUITE 203, SCHENECTADY, NY 12309-1079
(518) 377-8198
(518) 377-0620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
124483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00775053
—
NY
Enumeration date
08/04/2006
Last updated
02/10/2012
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