Dr. Vincent Sperandeo, DNP
Nurse Practitioner in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1033185822
StatusActive
Last updated in NPPESFeb 4, 2015
Details
- NPI
- 1033185822
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vincent Sperandeo
- Credential
- DNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2006
- Last updated
- Feb 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F33169-1 | NY | Yes |
| 207P00000X | Emergency Medicine | F33169-1 | NY |
Practice location
1174 Route 112Port Jefferson Station, NY 11776-8033
Phone 631-320-7503 · Fax 631-880-4411
Mailing address
1174 Route 112Port Jefferson Station, NY 11776-8033
Phone 631-320-7503 · Fax 631-880-4411
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