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DR. LUIS ANTONIO VASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
66 FORT WASHINGTON AVE, FORT WASHINGTON MEDICALL OFFICE, NEW YORK, NY 10032-4711
(212) 927-0013
(212) 927-0014
Mailing address
66 FORT WASHINGTON AVE, FORT WASHINGTON MEDICALL OFFICE, NEW YORK, NY 10032-4711
(212) 927-0013
(212) 927-0014

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
009723-1
NY

Other

Enumeration date
07/13/2006
Last updated
04/08/2014
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