Vacirca, Jeffrey L

Vacirca, Jeffrey L is an individual health care provider with primary practice located at 1500 Route 112 Bldg 4, Port Jefferson Station NY 11776-8055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Vacirca, Jeffrey L can be contacted via phone (631) 574-8354.

Contact Information

Primary practice address
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055
Fax: (631) 509-6559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 222234 New York

Profile Details

NPI number 1366446726
LBN Legal business name Vacirca, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 14th, 2019 - about 6 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 1366446726 NPPES
New York MEDICAID 02521837

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