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Organization

MIGUEL VARGAS MD PC

Active
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Organization

MIGUEL VARGAS MD PC

Active
Other names
Medical Sports Rehab of Maspeth
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIGUEL ANTONIO VARGAS M.D. (MEDICAL DIRECTOR)
(718) 984-3206
Entity
Organization

Contact information

Practice address
1 EDGEWOOD AVE, SUITE 100, SMITHTOWN, NY 11787-2742
(631) 979-8508
(631) 979-0998
Mailing address
1 EDGEWOOD AVE, SUITE 100, SMITHTOWN, NY 11787-2742
(631) 979-8508
(631) 979-0998

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—

Other

Enumeration date
10/02/2006
Last updated
01/20/2012
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