MEDICARE: DR. PASQUALE PATRICK VASCIMINI DDS

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	122300000X	Dentist	041565-1	NY

General Provider Information

NPI Number	:	1760642615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PASQUALE PATRICK VASCIMINI DDS

Provider Business Mailing Address
First Line	:	3010 WESTCHESTER AVE
Second Line	:	STE 309
City	:	PURCHASE
State	:	NY
Zip	:	10577-2502
Country	:	US
Telephone Number	:	914-251-0636
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 RYE RIDGE PLZ
Second Line	:	SUITE 101
City	:	RYE BROOK
State	:	NY
Zip	:	10573-2828
Country	:	US
Telephone Number	:	914-251-0636
Fax Number	:	914-251-0642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	02/11/2016

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