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Individual

MS. ERIKA BIANERY VEGA SOLIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11821 QUEENS BLVD STE 612, FOREST HILLS, NY 11375-7206
(917) 749-2068
Mailing address
3170 42ND ST APT 3, ASTORIA, NY 11103-3297
(347) 846-8996

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1856817241
NY

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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