Individual
MARIA- ANNA VASTARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9036 7TH AVE, BROOKLYN, NY 11228-3625
(718) 567-1403
Mailing address
450 CLARKSON AVE, BOX 50, BROOKLYN, NY 11203-2012
(718) 270-2929
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
254944
NY
Other
Enumeration date
09/27/2010
Last updated
11/13/2013
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