Individual
VANNA MARGARITA NICASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
461 AUDUBON AVE APT 1, NEW YORK, NY 10040-4677
(646) 981-7755
Mailing address
461 AUDUBON AVE APT 1, NEW YORK, NY 10040-4677
(646) 981-7755
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2107-P.A.
PR
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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