Individual
DR. CARL EUGENE VINCIGUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97-15 101ST AVE, OZONE PARK, NY 11416-2523
(718) 849-7922
(718) 849-7922
Mailing address
9715 101ST AVE, OZONE PARK, NY 11416-2523
(718) 849-7922
(718) 849-7922
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
155025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00830328
—
NY
Enumeration date
03/17/2006
Last updated
01/06/2020
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