Individual
JOANNE VAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(516) 395-9035
Mailing address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-3790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
737276
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405191
NY
Other
Enumeration date
04/28/2022
Last updated
07/23/2024
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