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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS JUSTIN VACCARI, M.D.

Active Sole Proprietor

DR. NICHOLAS JUSTIN VACCARI, M.D. is a 207PE0005X healthcare provider located in BROOKLYN, New York. NPI 1194993881 is currently active in the NPPES registry. Verify at CMS.

207PE0005X · BROOKLYN, NY

Registration Details

NPI Number
1194993881
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2008 (18.521261663569 yrs)
Last Updated
Mar 7, 2013
Licenses
247484 (NY)
247484 (NY)
247484 (NY)
Sole Proprietor
Yes

Practice Information

Address
506 6TH ST
BROOKLYN, NY, 112153609
Browse NY providers · Browse ZIP 11215
Phone
7187805040
Primary Specialty
207PE0005X
207PE0005X
Additional Specialty
Emergency Medical Services
Additional Specialty
207PE0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.