Individual
ANA M VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2951 SHERMAN CT, MOHEGAN LAKE, NY 10547-1830
(646) 591-1054
Mailing address
2951 SHERMAN CT, MOHEGAN LAKE, NY 10547-1830
(646) 591-1054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5271-1
NY
Other
Enumeration date
02/20/2007
Last updated
11/02/2017
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