Individual
YVETTE MARIA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
111 E 59TH ST, NEW YORK, NY 10022-1202
(212) 821-9200
Mailing address
111 E 59TH ST, NEW YORK, NY 10022-1202
(212) 821-9200
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
697300
NY
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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