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Organization

NYCHHC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY MARIE VAZQUEZ LMSW (SOCIAL WORKER IV)
(718) 579-4628
Entity
Organization

Contact information

Practice address
234 EUGENIO MARIA DE HOSTO BLVD, BRONX, NY 10451-5504
(718) 579-5657
Mailing address
78 MIDLAND AVE, PRIVATE HOUSE, YONKERS, NY 10705-2733
(914) 751-1332

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070779-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55PHH785362
CAR INSURANCE
NY
Enumeration date
01/22/2010
Last updated
01/22/2010
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