Individual
DIANA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DAKOTA DR, NEW HYDE PARK, NY 11042-1135
(516) 608-2898
Mailing address
34 WESTCOTT ST, INWOOD, NY 11096-1222
(516) 808-9678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345157-01
NY
Other
Enumeration date
10/23/2019
Last updated
10/29/2019
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