Individual
XIOMARLIN VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 EVERGREEN AVE, BROOKLYN, NY 11207-1134
(631) 829-6872
Mailing address
714 EVERGREEN AVE # 1, BROOKLYN, NY 11207-1134
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NY
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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