Healthcare Provider Details

I. General information

NPI: 1760497127
Provider Name (Legal Business Name): ROCKLAND NUCLEAR SPECT IMAGING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 ROUTE 59
SUFFERN NY
10901-4917
US

IV. Provider business mailing address

134 ROUTE 59
SUFFERN NY
10901-4917
US

V. Phone/Fax

Practice location:
  • Phone: 845-369-9200
  • Fax: 845-369-9206
Mailing address:
  • Phone: 845-369-9200
  • Fax: 845-369-9206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ROBERT A VACCARINO
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 845-369-9200