Individual
ANGELICA MARIA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(917) 583-6348
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(917) 583-6348
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
289776-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
06/02/2022
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