Provider Demographics
NPI:1184818528
Name:ANTHONY J VECCHIA M.D. PC.
Entity Type:Organization
Organization Name:ANTHONY J VECCHIA M.D. PC.
Other - Org Name:EMERGENCY MEDICAL CARE OF LONG ISLAND P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VECCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-762-5540
Mailing Address - Street 1:41-15 162ND ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-4124
Mailing Address - Country:US
Mailing Address - Phone:718-762-6640
Mailing Address - Fax:718-762-6635
Practice Address - Street 1:41-15 162ND ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-4124
Practice Address - Country:US
Practice Address - Phone:718-762-6640
Practice Address - Fax:718-762-6635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232075207N00000X, 261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty