Healthcare Provider Details

I. General information

NPI: 1265876486
Provider Name (Legal Business Name): RODICA VARGO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 GRAND CONCOURSE FRNT 3
BRONX NY
10451-3003
US

IV. Provider business mailing address

10 KEWANEE RD
NEW ROCHELLE NY
10804-1324
US

V. Phone/Fax

Practice location:
  • Phone: 718-401-8943
  • Fax: 718-401-8945
Mailing address:
  • Phone: 347-668-2566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number287766
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: