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Individual

VINCENT J ZECCOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1101 NOTT ST, DEPARTMENT OF EMERGENCY, SCHENECTADY, NY 12308-2425
(518) 243-4121
Mailing address
1462 ERIE BLVD, SUITE 2, SCHENECTADY, NY 12305-1026
(518) 243-1020
(518) 243-1021

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
129397-1
NY
207R00000X
Internal Medicine Physician
129397-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01732663
NY
Enumeration date
07/02/2006
Last updated
03/18/2008
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