# DR. EDWIN VEGA JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447391784
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010869-1 | NY | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 145441AN | PREFERRED CARE | NY |
| 01 | — | 7475597 | AETNA | NY |
| 01 | — | C10869-8W | WORKMANS COMPENSATION | NY |