Individual
ELIZABETH VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
25 S MAIN ST STE E, SPRING VALLEY, NY 10977-4917
(845) 538-5754
Mailing address
13 BEVERLY RD, DUMONT, NJ 07628-1105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348573
NY
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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