Individual
BRIDGET L. VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SEIT
Contact information
Practice address
1715 COLEMAN STREET, BROOKLYN, NY 11234
(347) 992-7932
Mailing address
1715 COLEMAN ST, BROOKLYN, NY 11234-4312
(347) 992-7932
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
760707131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902872591
SEIT
NY
Enumeration date
09/16/2014
Last updated
09/16/2014
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