| Doctor Name: | DR. VINCENT VIGILANTE |
| NPI Number: | 1376748475 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MEDICAL DOCTOR |
| License Number: | A1402121 |
| Business Practice Address: | 5162 Searsville Rd Pine Bush, NY - 125666421 |
| Business Phone Number: | 8457443392 |
| Business Fax Number: | 8457443392 |
| Mailing Address: | Po Box 698, 5162 Searsville Rd PINE BUSH |
| State: | NY |
| Postal Code: | 125660698 |
| Phone Number: | 8457443392 |
| Fax Number: | 8457443392 |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A1402121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |