Dr CECILIA VANISKY is a female medical professional, specializing in Nurse Practitioner. She graduated in 1989 from State University Of New York At Stony Brook, School Of Medicine.
SQUARE CARE MEDICAL GROUP LLP
191 HERRICKS RD
GARDEN CITY PARK
NY
110405236
Tel: 5167422224
| Npi | 1225253222 |
| Pac Id | 7719201300 |
| Professional Enrollment Id | I20160405002492 |
| Last Name | VANISKY |
| First Name | CECILIA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SQUARE CARE MEDICAL GROUP LLP |
| Group Practice Pac Id | 7012938434 |
| Number Of Group Practice Members | 76 |
| Line 1 Street Address | 191 HERRICKS RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GARDEN CITY PARK |
| State | NY |
| Zip Code | 110405236 |
| Phone Number | 5167422224 |
| Hospital Affiliation Ccn 1 | 330185 |
| Hospital Affiliation Lbn 1 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 2 | 330141 |
| Hospital Affiliation Lbn 2 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 330393 |
| Hospital Affiliation Lbn 3 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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