Individual
JORGE VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 JACKSON AVE, MINEOLA, NY 11501-2448
(516) 742-5555
Mailing address
870 SCHROETER AVE, FRANKLIN SQUARE, NY 11010-3908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001759
NY
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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