Individual
JENNIFER K VAZQUEZ-BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572
(845) 876-3001
Mailing address
14 MCNALLY ST, GOSHEN, NY 10924-1104
(845) 510-1870
(845) 510-1872
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
276666
NY
208M00000X
Hospitalist Physician
Primary
276666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04046851
—
NY
Enumeration date
09/03/2008
Last updated
08/24/2018
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