Individual
SHIRLEY PAOLA VANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 RIVERSIDE DR, MIDDLETOWN, NY 10941-4048
(845) 695-5600
Mailing address
11 BLUFFS CT, HAMBURG, NJ 07419-1525
(201) 259-8336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009290-1
NY
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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