Individual
PROF. RAPHAEL LUIS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 FORT WASHINGTON AVE, NEW YORK, NY 10032-1206
(212) 927-0060
(212) 923-3359
Mailing address
15 CORNELIA DR, GREENWICH, CT 06830-3906
(203) 542-5184
(203) 542-5184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
135505
NY
207W00000X
Ophthalmology Physician
Primary
135505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00385488
—
NY
Enumeration date
11/12/2006
Last updated
07/14/2010
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