MEDICARE: D'ANGELEZE ALONZO VARGAS MS CFY-SLP, TSSLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1710602156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	D'ANGELEZE ALONZO VARGAS MS CFY-SLP, TSSLD

Provider Business Mailing Address
First Line	:	7702 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6628
Country	:	US
Telephone Number	:	718-424-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	7702 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6628
Country	:	US
Telephone Number	:	718-424-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2022
Last Update Date	:	02/05/2026

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