Individual
ANYIRIS VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 LORRAINE AVE, MOUNT VERNON, NY 10553-1222
(914) 663-7070
(914) 663-7075
Mailing address
1516 OHM AVE, BRONX, NY 10465-1112
(646) 548-7274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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