Doctor Name: | MR. VINCENT JOHN FERRAGAMO |
NPI Number: | 1962782748 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 62382 |
Business Practice Address: | 1250 Hylan Blvd 14b Staten Island, NY - 103051943 |
Business Phone Number: | 7188157546 |
Business Fax Number: | 7188157547 |
Mailing Address: | 1250 Hylan Blvd, Suite 14b STATEN ISLAND |
State: | NY |
Postal Code: | 103051943 |
Phone Number: | 7188187546 |
Fax Number: | 7188157547 |
NPI Enumeration Date: | 08/24/2011 |
NPI Last Update Date: | 08/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 62382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |