Individual
DR. MARIA E VACCARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
220 E MAIN ST, EAST ISLIP, NY 11730-2734
(631) 969-4590
(631) 647-7690
Mailing address
220 E MAIN ST, EAST ISLIP, NY 11730-2734
(631) 969-4590
(631) 647-7690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
180600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01480120
—
NY
05
—
01497474
—
NY
Enumeration date
10/04/2005
Last updated
05/02/2014
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