Provider Demographics
NPI:1245400639
Name:BARBARA J VACCARO
Entity Type:Organization
Organization Name:BARBARA J VACCARO
Other - Org Name:FITTINGS FOR YOU
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VACCARO
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:315-361-1276
Mailing Address - Street 1:6964 FORBES RD
Mailing Address - Street 2:
Mailing Address - City:CANASTOTA
Mailing Address - State:NY
Mailing Address - Zip Code:13032-4711
Mailing Address - Country:US
Mailing Address - Phone:315-361-1276
Mailing Address - Fax:315-361-1276
Practice Address - Street 1:6964 FORBES RD
Practice Address - Street 2:
Practice Address - City:CANASTOTA
Practice Address - State:NY
Practice Address - Zip Code:13032-4711
Practice Address - Country:US
Practice Address - Phone:315-361-1276
Practice Address - Fax:315-361-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1312550001Medicare NSC