Organization
BROOKLYN NUCLEAR SPECT IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A VACCARINO M.D. (MEDICAL DIRECTOR)
(718) 837-0010
Entity
Organization
Contact information
Practice address
1435 86TH ST, BROOKLYN, NY 11228-3403
(718) 837-0010
(718) 837-1411
Mailing address
1435 86TH ST, BROOKLYN, NY 11228-3403
(718) 837-0010
(718) 837-1411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082731
—
NY
Enumeration date
05/23/2006
Last updated
01/04/2013
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