Individual
MARY ANNETTE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 JON BARRETT RD, PATTERSON, NY 12563-2164
(845) 878-9078
(845) 878-6139
Mailing address
23 ALEXANDER DR, TUXEDO PARK, NY 10987-4762
(845) 753-9820
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
223924
NY
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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