Organization
PATRICIA M. WILKINS-VACCA, LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA M WILKINS-VACCA LCSWR (PRESIDENT)
(845) 527-9456
Entity
Organization
Contact information
Practice address
504 HAIGHT AVE, POUGHKEEPSIE, NY 12603-2479
(845) 527-9456
(845) 473-0628
Mailing address
32 E BANK RD, POUGHKEEPSIE, NY 12603-1432
(845) 527-9456
(845) 473-0628
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02469689
—
NY
01
—
7496661
AETNA
NY
01
—
781305
MVP
NY
01
—
P2586785
OXFORD
NY
Enumeration date
04/20/2007
Last updated
09/13/2021
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