Sperandeo, Vincent
Sperandeo, Vincent is an sole proprietor health care provider with primary practice located at 1174 Route 112 , Port Jefferson Station NY 11776-8033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Sperandeo, Vincent can be contacted via phone (631) 320-7503.Contact Information
Primary practice address
1174 Route 112
Port Jefferson Station NY 11776-8033
Phone: (631) 320-7503
Fax: (631) 880-4411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | F33169-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F33169-1 | New York |
Profile Details
| NPI number | 1033185822 |
|---|---|
| LBN Legal business name | Sperandeo, Vincent |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Feb 4th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033185822 | NPPES |
| New York | MEDICAID | 02426382 | |
| New York | Other | P00287733 | |
| New York | Other | 1229G1 |
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