Individual
MS. CLAIRE ANN VACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N,P.
Contact information
Practice address
21 N 2ND ST, FULTON, NY 13069-1250
(315) 598-7105
(315) 598-4857
Mailing address
21 N 2ND ST, FULTON, NY 13069-1250
(315) 598-7105
(315) 598-4857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F331763-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380879-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02187704
—
NY
Enumeration date
07/20/2006
Last updated
09/11/2025
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