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1275665002
SUSAN H VACCA
NEW YORK, NY
NPI
1275665002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY f380764)
Enumeration Date
2007-03-09
Last Update Date
2012-08-23
Business Address
-- SUSAN H VACCA pnp
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-5000
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Mailing Address
-- SUSAN H VACCA pnp
300 S BROADWAY APT 1D
TARRYTOWN, NY 10591-5308
Phone number: 914-332-0618
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