IndividualActive
Charles Vaccariello, MD
NPI 1932275963 · Obesity Medicine (Family Medicine) Physician · Commack, NY
Provider details
- NPI number
- 1932275963
- Entity type
- Individual
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 104837 (NY)
Practice location
2092 Jericho Tpke Ste 5
Commack, NY 11725-3008
Phone: (631) 343-7611
Fax: (631) 343-7612
Mailing address
300 Oakwood Dr
Southold, NY 11971-3210
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.