Provider Demographics
NPI:1730226077
Name:WESTCHESTER NUCLEAR SPECT IMAGING
Entity type:Organization
Organization Name:WESTCHESTER NUCLEAR SPECT IMAGING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:VACCARINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:9147-934-1300
Mailing Address - Street 1:11 RYE RIDGE PLZ
Mailing Address - Street 2:STE 11
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2827
Mailing Address - Country:US
Mailing Address - Phone:914-934-1300
Mailing Address - Fax:
Practice Address - Street 1:11 RYE RIDGE PLZ
Practice Address - Street 2:STE 11
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2827
Practice Address - Country:US
Practice Address - Phone:914-934-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty