Vaccarella, Gerard

Vaccarella, Gerard is an individual health care provider with primary practice located at 248 Boulevard , Hasbrouck Heights NJ 07604-1935. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Vaccarella, Gerard can be contacted via phone (201) 288-4611.

Contact Information

Primary practice address
248 Boulevard Hasbrouck Heights NJ 07604-1935
Fax: (201) 288-8107
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 355100234200 New Jersey

Profile Details

NPI number 1073526588
LBN Legal business name Vaccarella, Gerard
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073526588 NPPES
Other 7920122 AETNA PIN #
MEDICAID 1609106 AETNA PIN #
Other V4951 AETNA PIN #

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