Keanu Tyler Vaccaro
Keanu Tyler Vaccaro is a Licensed Practical Nurse in Rochester, New York. Licensed in New York. Registered with an NPI since 2019.
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
40 Midland AveRochester, NY 14621-4050
Phone: (719) 574-9115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 312825 (NY) |
|---|
Record details
| NPI number | 1285277319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 22, 2019 |
| Last updated in NPPES | December 23, 2022 |
| Certification date | December 23, 2022 |
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