Individual
MS. JASMINE VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2961
Mailing address
PO BOX 20453, NEW YORK, NY 10009-8965
(917) 407-8880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013032
NY
Other
Enumeration date
11/25/2008
Last updated
11/27/2023
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