| Vincent F. Macaluso | |
|
287 Northern Blvd Suite #106 Great Neck NY 11021-4717 | |
| (516) 498-2300 | |
| (516) 498-2301 |
| Full Name | Vincent F. Macaluso |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Medicare PECOS PAC ID | 6507817400 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700996758 PECOS PAC ID: 4284685173 Enrollment ID: I20050208000933 |
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