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General NPI Number Information
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NPI Number | 1073702122
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Entity Type | Individual
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Provider Name | JEFFREY E. VERGALES M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 19 BRADHURST AVE STE 1400
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City | HAWTHORNE
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State | NY
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Zip | 10532-2140
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Country | US
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Telephone | 914-614-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 400 COLUMBUS AVE STE 200E
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City | VALHALLA
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State | NY
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Zip | 10595-1392
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Country | US
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Telephone |
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 338505-01
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License Number State | NY
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