Individual
MR. WILLIE M VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1136 NEILL AVE, BRONX, NY 10461-1328
(718) 518-7600
Mailing address
1136 NEILL AVE, BRONX, NY 10461-1328
(718) 869-2895
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/26/2024
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