Vincent F. Macaluso | |
287 Northern Blvd Suite #106 Great Neck NY 11021-4717 | |
(516) 498-2300 | |
(516) 498-2301 |
Full Name | Vincent F. Macaluso |
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Speciality | Psychiatry & Neurology |
Location | 287 Northern Blvd, Great Neck, New York |
Authorized Official Name and Position | Vincent Francis Macaluso (PRESIDENT) |
Authorized Official Contact | 5164982300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vincent F. Macaluso 287 Northern Blvd Suite #106 Great Neck NY 11021-4717 Ph: (516) 498-2300 | Vincent F. Macaluso 287 Northern Blvd Suite #106 Great Neck NY 11021-4717 Ph: (516) 498-2300 |
NPI Number | 1154516151 |
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Provider Enumeration Date | 09/12/2007 |
Last Update Date | 09/12/2007 |
Medicare PECOS PAC ID | 6507817400 |
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Medicare Enrollment ID | O20050208000966 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154516151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 210562 (New York) | Primary |
Provider Name | Vincent Macaluso |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1700996758 PECOS PAC ID: 4284685173 Enrollment ID: I20050208000933 |
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