Provider Demographics
NPI:1750312260
Name:CIAMPI, VINCENT (PA)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:
Last Name:CIAMPI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 STAFFORD DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4513
Mailing Address - Country:US
Mailing Address - Phone:631-547-6657
Mailing Address - Fax:
Practice Address - Street 1:7 STAFFORD DRIVE
Practice Address - Street 2:
Practice Address - City:SOUTH HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11746-0000
Practice Address - Country:US
Practice Address - Phone:631-547-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002323-1207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine