Individual
MR. RICARDO CESAR VACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
160 W 86TH ST, NEW YORK, NY 10024-4018
(212) 362-8755
Mailing address
48-17 39ST, 1ST FLOOR, LONG ISLAND CITY, NY 11104
(347) 724-1795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
112932-1
NY
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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