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NPI Code Detail

MEDICARE: VINCENT JAMES BOSCO PA

MEDICARE: VINCENT JAMES BOSCO PA
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
1363A00000XPhysician Assistant003057NY
2363A00000XPhysician Assistant14123CT

General Provider Information

NPI Number : 1831235704
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT JAMES BOSCO PA
Provider Business Mailing Address
First Line : 900 ROUTE 376
Second Line : STE H
City : WAPPINGERS FALLS
State : NY
Zip : 12590-6496
Country : US
Telephone Number : 845-592-4915
Fax Number :
Provider Business Practice Location Address
First Line : 45 FOSTER RD
Second Line :
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-6123
Country : US
Telephone Number : 845-226-4590
Fax Number : 855-200-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 06/10/2026

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Directions to “ VINCENT JAMES BOSCO PA” Practice Location

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