Individual
MS. KIM A VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
310 E 14TH STREET, MY EYE & EAR INFIRMARY, NEW YORK, NY 10003
(212) 979-4464
Mailing address
2 CATHARINE STREET, P.O. BOX 550, EAST MANHATTAN ANESTHESIA PARTNERS, LLC, POUGHKEEPSIE, NY 12602
(866) 868-8415
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
463192
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
463192-1
NY
Other
Enumeration date
08/25/2005
Last updated
12/28/2018
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