Individual
GIANNA VACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 WASHINGTON AVE, KINGSTON, NY 12401-3702
(845) 338-7410
Mailing address
80 GRANDEVILLE CT APT 1232, WAKEFIELD, RI 02879-8215
(401) 680-2043
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
034809
NY
Other
Enumeration date
03/13/2024
Last updated
10/20/2025
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