Individual
PAUL HENRY VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
457 CLAY PITTS RD, EAST NORTHPORT, NY 11731-3821
(631) 486-8572
(631) 368-4975
Mailing address
457 CLAY PITTS RD, EAST NORTHPORT, NY 11731-3821
(631) 486-8572
(631) 368-4975
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
018893-1
NY
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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