Individual
MARIA VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
399 KNOLLWOOD RD STE 108, WHITE PLAINS, NY 10603-1916
(225) 335-8750
Mailing address
399 KNOLLWOOD RD STE 108, WHITE PLAINS, NY 10603-1916
(225) 335-8750
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246ZE0600X
SPECIALIST/TECHNOLOGIST, OTHER-ELECTRONEURODIAGNOSTIC
—
Enumeration date
09/09/2021
Last updated
09/09/2021
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