Individual
JOHNNY F VANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
984 NOSTRAND AVE, BROOKLYN, NY 11225-2901
(730) 071-8701
Mailing address
4300 MARTHA AVE APT 6L, BRONX, NY 10470-2038
(845) 699-1207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01303201
NY
Other
Enumeration date
09/04/2024
Last updated
08/09/2025
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