Healthcare Provider Details

I. General information

NPI: 1912817412
Provider Name (Legal Business Name): VANESSA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 AMON TER FL 2
LINDEN NJ
07036-6203
US

IV. Provider business mailing address

415 AMON TER FL 2
LINDEN NJ
07036-6203
US

V. Phone/Fax

Practice location:
  • Phone: 908-875-3356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: