Individual
GERALDINE VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-7001
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
216857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02199580
—
NY
Enumeration date
12/16/2006
Last updated
01/17/2013
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