| Doctor Name: | MRS. ATHENA VACCARO |
| NPI Number: | 1801265491 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., P.T |
| License Number: | 012818-1 |
| Business Practice Address: | 431 Carpenter Ave Sea Cliff, NY - 115792102 |
| Business Phone Number: | 6468723287 |
| Business Fax Number: | |
| Mailing Address: | 431 Carpenter Ave, SEA CLIFF |
| State: | NY |
| Postal Code: | 115792102 |
| Phone Number: | 6468723287 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2015 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 012818-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |