Individual
MR. DARYL VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6809 50TH AVE, WOODSIDE, NY 11377-7503
(917) 775-3673
Mailing address
6809 50TH AVE, WOODSIDE, NY 11377-7503
(917) 775-3673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009786
NY
225X00000X
Occupational Therapist
Primary
030023-01
NY
Other
Enumeration date
08/23/2023
Last updated
05/07/2025
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