Individual
WHITNEY ELIZABETH VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
45 WYCKOFF ST APT 2, BROOKLYN, NY 11201-6304
(585) 789-0449
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
024231
NY
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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