Individual
MRS. CHRISTINE GEMMA VACCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
7555 MAIN RD, MATTITUCK, NY 11952-1516
(631) 298-8642
(631) 298-4869
Mailing address
PO BOX 1418, 755 MAIN ROAD, MATTITUCK, NY 11952
(631) 298-8642
(631) 298-4869
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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