MEDICARE: WESTCHESTER NUCLEAR SPECT IMAGING, PC

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
1	207RC0000X	Cardiovascular Disease Physician
2	207UN0901X	Nuclear Cardiology Physician

General Provider Information

NPI Number	:	1598801151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCHESTER NUCLEAR SPECT IMAGING, PC

Provider Business Mailing Address
First Line	:	1 ELM ST
Second Line	:
City	:	TUCKAHOE
State	:	NY
Zip	:	10707-3925
Country	:	US
Telephone Number	:	914-337-6660
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ELM ST
Second Line	:
City	:	TUCKAHOE
State	:	NY
Zip	:	10707-3925
Country	:	US
Telephone Number	:	914-337-6660
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ROBERT A VACCARINO
Credential	:	MD
Telephone Number	:	914-337-6660

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	09/11/2025

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