Individual
DR. MANUEL VAZQUEZ-SENIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 764-1711
Mailing address
202 TAUGHANNOCK BLVD, PO BOX 366, ITHACA, NY 14850-3328
(607) 277-4035
(607) 277-3888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
173889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097794
—
NY
Enumeration date
01/26/2006
Last updated
01/27/2010
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