Individual
MR. ABRAHAM VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(631) 419-6737
Mailing address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(631) 419-6737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279211-01
NY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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