Individual
IVY L VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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