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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033185822 NPPES
New York MEDICAID 02426382
New York Other P00287733
New York Other 1229G1

Popular Providers