Individual
STANLEY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
462 1ST AVE BLDG 1E15, NEW YORK, NY 10016-9196
(212) 562-8793
Mailing address
462 1ST AVE BLDG 1E15, NEW YORK, NY 10016-9196
(212) 562-8793
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1086-P.A
PR
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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