Individual
PHILIP VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 JORALEMON ST, SUITE 6A, BROOKLYN, NY 11201-4709
(718) 875-2159
Mailing address
208 ELMWOOD AVE, BROOKLYN, NY 11230-2608
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001233-1
NY
Other
Enumeration date
05/18/2006
Last updated
05/28/2008
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