Individual
JAVIER VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-3600
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-3600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
002333
NY
2084P0800X
Psychiatry Physician
Primary
247631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02650168
—
NY
Enumeration date
05/18/2006
Last updated
09/16/2022
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