Individual
MARIA VIGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
902 QUENTIN RD, BROOKLYN, NY 11223-2214
(718) 236-2661
Mailing address
902 QUENTIN RD, BROOKLYN, NY 11223-2214
(718) 236-2661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
322586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02358230
—
NY
Enumeration date
01/22/2007
Last updated
08/12/2014
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