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Individual

ANJELICA VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
620 MADISON ST, SYRACUSE, NY 13210-2338
(315) 426-3600
Mailing address
6321 NEW UTRECHT AVE, BROOKLYN, NY 11219-5425
(212) 687-7464

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
724669
NY

Other

Enumeration date
07/12/2018
Last updated
02/06/2025
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