Individual
MRS. ANSU VERGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
102 PARK AVE, YONKERS, NY 10703-2934
(914) 965-4300
Mailing address
102 HAVERMILL RD, NEW CITY, NY 10956-3137
(914) 885-4045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0220321
NY
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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