Vaccaro, Anzhelika
Vaccaro, Anzhelika is an individual health care provider with primary practice located at 125 Oakland Ave Suite 101, Port Jefferson NY 11777-2130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vaccaro, Anzhelika can be contacted via phone (631) 828-7100.Contact Information
Primary practice address
125 Oakland Ave Suite 101
Port Jefferson NY 11777-2130
Phone: (631) 828-7100
Fax: (631) 828-7171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 252029 | New York |
Profile Details
| NPI number | 1114176278 |
|---|---|
| LBN Legal business name | Vaccaro, Anzhelika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Sep 18th, 2019 - about 5 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 | 1114176278 | NPPES |
| New York | MEDICAID | 03137102 |
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