Individual
ANDREA VASKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9777 QUEENS BLVD PH, REGO PARK, NY 11374-3300
(718) 830-9274
(718) 830-9276
Mailing address
6418 70TH ST, MIDDLE VILLAGE, NY 11379-1716
(718) 894-7305
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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