IndividualActive
Cecilia Vanisky, N.P.
NPI 1225253222 · Obstetrics & Gynecology Nurse Practitioner · Port Jefferson Station, NY
Provider details
- NPI number
- 1225253222
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- 360059 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4 Roosevelt Ave
Port Jefferson Station, NY 11776-3363
Phone: (631) 331-0500
Fax: (631) 331-1644
Approximate (ZIP-level) locationGet directions
Mailing address
900 Merchants Concourse Ste 216
Westbury, NY 11590-5114
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2019-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.