Individual provider · Type 1 NPI
Andrew Thomas Vaccariello, PA-C
Medical Physician Assistant · New Hyde Park, NY
NPI number
1992483853
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1496
Mailing address
222 N 5th St
Bethpage, NY 11714-2008
Other practice locations
- 301 E Main St, Bay Shore, NY 11706-8408 · (631) 968-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1992483853
Andrew Thomas Vaccariello, PA-C's National Provider Identifier is 1992483853, issued on Jul 10, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hyde Park, NY. The record was last updated on Jan 21, 2025.