Doctor Name: | RENEE E VACCARO |
NPI Number: | 1316076854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 028966 |
Business Practice Address: | 400 W Main St Ste 111 Babylon, NY - 117023009 |
Business Phone Number: | 6313760600 |
Business Fax Number: | 6313762274 |
Mailing Address: | 14 Eagle Ln, FARMINGDALE |
State: | NY |
Postal Code: | 117355908 |
Phone Number: | 6313760600 |
Fax Number: | 6313762247 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 028966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |