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General NPI Number Information
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NPI Number | 1023221587
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Entity Type | Individual
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Provider Name | BROOKE D. VERGALES M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 26901 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1433
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Country | US
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Telephone | 434-284-0420
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Fax |
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Provider Business Mailing Address
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Address Line | 26901 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1433
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Country | US
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Telephone | 434-284-0420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 0101244971
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101244971
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License Number State | VA
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