Individual
MICHELLE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E 70TH ST STE 341, NEW YORK, NY 10021-9800
(720) 435-6573
Mailing address
312 E 90TH ST APT 2G, NEW YORK, NY 10128-5126
(720) 435-6573
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311037
NY
Other
Enumeration date
11/17/2022
Last updated
07/31/2023
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