Individual
MISS MABEL VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
(718) 886-8694
Mailing address
29 WALNUT DR, MAHOPAC, NY 10541-1265
(646) 228-0706
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
09/18/2018
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