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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1114176278 NPPES
New York MEDICAID 03137102

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