Individual
ESTRELLA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
652 W 189TH ST, APT 20, NEW YORK, NY 10040-4112
(917) 488-7408
Mailing address
652 W 189TH ST, APT 20, NEW YORK, NY 10040-4112
(917) 488-7408
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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