Individual
DR. ROBERT ALDO VACCARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1435 86TH ST, BROOKLYN, NY 11228-3435
(718) 837-0010
(718) 837-1411
Mailing address
1435 86TH ST, BROOKLYN, NY 11228-3435
(718) 837-0010
(718) 837-1411
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
170563-1
NY
207UN0901X
Nuclear Cardiology Physician
170563-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01793324
—
NY
Enumeration date
01/05/2006
Last updated
01/10/2012
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