Individual
IVANNA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PALMER AVE STE 205, LARCHMONT, NY 10538-2420
(917) 979-8736
Mailing address
2001 PALMER AVE STE 205, LARCHMONT, NY 10538-2420
(917) 979-8736
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001620
NY
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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