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Individual

GABRIELLA VINGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 561-4400
Mailing address
672 HERITAGE HLS UNIT D, SOMERS, NY 10589-5018
(914) 708-7675

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027360
NY
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/03/2021
Last updated
10/01/2021
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