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NPI Code Detail

MEDICARE: STEPHANIE VARGAS

MEDICARE: STEPHANIE VARGAS
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
1174400000XSpecialist

General Provider Information

NPI Number : 1205799061
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE VARGAS
Provider Business Mailing Address
First Line : 1400 OLD COUNTRY RD STE C103N
Second Line :
City : WESTBURY
State : NY
Zip : 11590-5156
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 OLD COUNTRY RD STE C103N
Second Line :
City : WESTBURY
State : NY
Zip : 11590-5156
Country : US
Telephone Number : 914-572-7088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ STEPHANIE VARGAS ” Practice Location

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