Dr KIM A VITACCO NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2003 from State University Of New York At Stony Brook, School Of Medicine.
2 SHELTER HARBOR CT
WADING RIVER
NY
117922202
Tel: 6312550890
| Npi | 1912908484 |
| Pac Id | 1951350602 |
| Professional Enrollment Id | I20061110000382 |
| Last Name | VITACCO |
| First Name | KIM |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
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| Line 1 Street Address | 2 SHELTER HARBOR CT |
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| City | WADING RIVER |
| State | NY |
| Zip Code | 117922202 |
| Phone Number | 6312550890 |
| Hospital Affiliation Ccn 1 | 330185 |
| Hospital Affiliation Lbn 1 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
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| Professional Accepts Medicare Assignment | Y |
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