Individual
MS. MELANIE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
9110 146TH ST, JAMAICA, NY 11435-4301
(718) 468-9000
Mailing address
709 FDR DR APT 13E, NEW YORK, NY 10009-7117
(718) 468-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025483
NY
103TS0200X
School Psychologist
—
—
Other
Enumeration date
06/18/2012
Last updated
09/01/2024
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