| Doctor Name: | MR. JOHN VECCHIO |
| NPI Number: | 1124498514 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 648388 |
| Business Practice Address: | 3965 45th St Sunnyside, NY - 111042103 |
| Business Phone Number: | 9177441577 |
| Business Fax Number: | |
| Mailing Address: | Po Box 36, ARDSLEY ON HUDSON |
| State: | NY |
| Postal Code: | 105030036 |
| Phone Number: | 9177441577 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2015 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 648388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |