Organization
MIGUEL VARGAS MD PC
Active
Other names
Medical Sports Rehab of Maspeth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL ANTONIO VARGAS M.D. (MEDICAL DIRECTOR)
(718) 984-3206
Entity
Organization
Contact information
Practice address
1 EDGEWOOD AVE, SUITE 100, SMITHTOWN, NY 11787-2742
(631) 979-8508
(631) 979-0998
Mailing address
1 EDGEWOOD AVE, SUITE 100, SMITHTOWN, NY 11787-2742
(631) 979-8508
(631) 979-0998
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02802766
—
NY
Enumeration date
10/02/2006
Last updated
01/20/2012
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