Provider Demographics
NPI:1760642615
Name:VASCIMINI, PASQUALE PATRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:PASQUALE
Middle Name:PATRICK
Last Name:VASCIMINI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 WESTCHESTER AVE
Mailing Address - Street 2:STE 309
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2502
Mailing Address - Country:US
Mailing Address - Phone:914-251-0636
Mailing Address - Fax:
Practice Address - Street 1:10 RYE RIDGE PLZ
Practice Address - Street 2:SUITE 101
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2828
Practice Address - Country:US
Practice Address - Phone:914-251-0636
Practice Address - Fax:914-251-0642
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041565-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist