Individual
GISELL VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
979 ROUTE 6, MAHOPAC, NY 10541-1716
(845) 230-2382
(845) 347-6129
Mailing address
979 ROUTE 6, MAHOPAC, NY 10541-1716
(845) 230-2382
(845) 347-6129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306562
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2017
Last updated
05/02/2025
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