Mr. Richard Vactor I
Clinical Social Worker
177 East 122nd Street
New York
, New York 10035
Mr. Richard Vactor I
Clinical Social Worker
177 East 122nd Street
New York
, New York 10035
(914) 349-3723
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Richard Vactor I
- 56 Madeleine Ave
- New Rochelle, NY
- Zip : 10801-3615
- Phone : (914) 349-3723
Second Address
- Mr. Richard Vactor I
- 177 East 122nd Street
- New York, NY
- Zip : 10035
- Fax : (212) 360-7183
- Phone : (212) 360-7116
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 079647 | NY |
National Provider Identifier
| NPI | 1003213802 |
|---|---|
| Provider Name | Mr. Richard Vactor I |
| First Address | New Rochelle, NY 10801-3615 |
| Second Address | New York, NY 10035 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2014 |
| Last Update Date | 24/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.