Individual
LIGIA AMPARO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 FORT WASHINGTON AVE., NY, NY 10032
(212) 927-0060
Mailing address
15 CORNELIA DR, GREENWICH, CT 06830
(203) 542-5184
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0054001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00979442
—
NY
Enumeration date
03/19/2007
Last updated
09/30/2008
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