Individual
VINCENT CAMPASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
656 NORTH WELLWOOD AVE SUITE G & H, PREMIERE CARE, LINDENHURST, NY 11757
(631) 225-4227
(631) 225-4229
Mailing address
656 NORTH WELLWOOD AVENUE SUITE G & H, PREMIER CARE, LINDENHURST, NY 11757
(631) 225-4227
(631) 225-4229
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
228987
NY
207P00000X
Emergency Medicine Physician
25MA09619200
NJ
Other
Enumeration date
10/09/2006
Last updated
07/10/2019
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