Individual
AVELINO VERGARA DE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
11949 UNION TPKE APT 4C, FOREST HILLS, NY 11375-6109
(718) 544-2552
Mailing address
11949 UNION TPKE APT 4C, FOREST HILLS, NY 11375-6109
(718) 544-2552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015949-1
NY
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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