Individual provider · Type 1 NPI
Susan H. Vacca, PNP
Pediatric Nurse Practitioner · New York, NY
NPI number
1275665002
Active
Practice location
622 W 168th St
New York, NY 10032-3720
Fax (212) 305-7400
Mailing address
300 S Broadway Apt 1D
Tarrytown, NY 10591-5308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F380764 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1275665002
Susan H. Vacca, PNP's National Provider Identifier is 1275665002, issued on Mar 9, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Aug 23, 2012.