Individual
BRENDA JEAN VECCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3RD AVE & 183 ST., BRONX, NY 10457
(718) 960-3788
Mailing address
7118 MYRTLE AVE, GLENDALE, NY 11385-7219
(917) 716-9014
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007401
NY
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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