Vanisky, Cecilia

Vanisky, Cecilia is an individual health care provider with primary practice located at 4 Roosevelt Ave , Port Jefferson Station NY 11776-3363. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Vanisky, Cecilia can be contacted via phone (631) 331-0500.

Contact Information

Primary practice address
4 Roosevelt Ave Port Jefferson Station NY 11776-3363
Phone: (631) 331-0500
Fax: (631) 331-1644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 360059 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 360059 New York

Profile Details

NPI number 1225253222
LBN Legal business name Vanisky, Cecilia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Dec 3rd, 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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