Individual
CARMEN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
38 RYERSON RD, NEW HAMPTON, NY 10958-3411
(845) 421-6675
Mailing address
38 RYERSON RD, NEW HAMPTON, NY 10958-3411
(845) 421-6675
(845) 343-9906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
444673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285031252
—
NY
Enumeration date
07/12/2017
Last updated
07/12/2017
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