Individual
YOLIMA VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
134 ROOSEVELT AVE, STATEN ISLAND, NY 10314-4124
(718) 370-2088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 500276
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
30307503
NY
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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