Individual
MS. DIANA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MAIN ST, GOSHEN, NY 10924-2133
(845) 360-6646
Mailing address
124 MAIN ST, GOSHEN, NY 10924-2133
(845) 360-6646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
10/15/2024
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