Individual
DR. IVETTE VIGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6205
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6205
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
275674
NY
Other
Enumeration date
02/09/2012
Last updated
07/02/2014
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