Individual
MRS. ATHENA VACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.T
Contact information
Practice address
431 CARPENTER AVE, SEA CLIFF, NY 11579-2102
(646) 872-3287
Mailing address
431 CARPENTER AVE, SEA CLIFF, NY 11579-2102
(646) 872-3287
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
012818-1
NY
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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