Individual
ANGEL JULIO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 2ND AVE FL 12, NEW YORK, NY 10029-7406
(917) 805-9212
Mailing address
1900 2ND AVE FL 12, NEW YORK, NY 10029-7406
(917) 805-9212
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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