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NPI Code Detail

MEDICARE: DR. VINCENT J GERACI MD

MEDICARE: DR. VINCENT J GERACI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician133406NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396702262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT J GERACI MD
Provider Business Mailing Address
First Line : 975 STEWART AVE
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-4816
Country : US
Telephone Number : 516-222-8666
Fax Number : 516-745-5476
Provider Business Practice Location Address
First Line : 975 STEWART AVE
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-4816
Country : US
Telephone Number : 516-222-8666
Fax Number : 516-745-5476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 02/25/2021

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Directions to “ DR. VINCENT J GERACI MD” Practice Location

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