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Contact Information

CECILIA VANISKY, NP
4 ROOSEVELT AVE
PORT JEFFERSON STATION, NY11776-3363
 Phone: 631-331-0500
 Fax: 631-331-1644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CECILIA VANISKY · (Female)

NPI Number 1225253222
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/16/2007
Last updated 12/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 360059
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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