Individual
MS. CARMEN V VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ESPLANADE AVE, 2-H, BRONX, NY 10461-1227
(646) 410-1198
Mailing address
1025 ESPLANADE AVE, 2-H, BRONX, NY 10461-1227
(646) 410-1198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/24/2013
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