Individual
DR. GLORIANNE L VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
519 BAY RIDGE PKWY, 2ND FLOOR, BROOKLYN, NY 11209-3309
(646) 248-2775
Mailing address
519 BAY RIDGE PKWY, 2ND FLOOR, BROOKLYN, NY 11209-3309
(646) 248-2775
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019909
NY
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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