Individual
CARLO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 30TH AVE, ASTORIA, NY 11102-3641
(929) 312-0654
Mailing address
1428 30TH AVE, ASTORIA, NY 11102-3641
(929) 312-0654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032642
NY
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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