Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 009283-01 | NY |
N | 103TH0004X | Health Psychologist | 009283-01 | NY |
NPI | 1417575754 |
---|---|
Provider Name | Dr. Donato Vaccaro |
First Address | Eastchester, NY 10709-3805 |
Second Address | Eastchester, NY 10709-3805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2020 |
Last Update Date | 13/07/2020 |