Individual
DR. FAUSTO VINCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21 READE PL STE 3100, POUGHKEEPSIE, NY 12601
(845) 214-1800
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5144
(845) 475-9661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
229830
NY
2086S0102X
Surgical Critical Care Physician
229830
NY
2086S0127X
Trauma Surgery Physician
Primary
229830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02349746
—
NY
Enumeration date
01/02/2007
Last updated
07/24/2018
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