Provider Demographics
NPI:1932515525
Name:VOCCOLA, GREG (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:GREG
Middle Name:
Last Name:VOCCOLA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4842
Mailing Address - Country:US
Mailing Address - Phone:212-532-2354
Mailing Address - Fax:
Practice Address - Street 1:222 E 34TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4842
Practice Address - Country:US
Practice Address - Phone:212-532-2354
Practice Address - Fax:212-532-2354
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055488-1183500000X
CT08220183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist