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Contact Information

ANZHELIKA VACCARO, MD
125 OAKLAND AVE
SUITE 101
PORT JEFFERSON, NY11777-2130
 Phone: 631-828-7100
 Fax: 631-828-7171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ANZHELIKA VACCARO · (Female)

NPI Number 1114176278
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2008
Last updated 09/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 252029
  • NY Medicaid 03137102
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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