MEDICARE: DR. ROSA VAZQUEZ PH.D.

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
1	103TC0700X	Clinical Psychologist	010895	NY

General Provider Information

NPI Number	:	1508945536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSA VAZQUEZ PH.D.

Provider Business Mailing Address
First Line	:	799 BROADWAY STE 643
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-6818
Country	:	US
Telephone Number	:	212-529-8545
Fax Number	:	212-529-8747

Provider Business Practice Location Address
First Line	:	799 BROADWAY STE 643
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-6818
Country	:	US
Telephone Number	:	212-529-8545
Fax Number	:	212-529-8737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1568653046 — MS. LINDA C MARTINEZ LCSW
Practice Location Address:

10 WEST 15TH STREET , APT 410
NEW YORK, NY
10011-6818

Practice Phone: 212-217-9185
Practice Fax:

1033579917 — THE CHILD CENTER OF NY
Practice Location Address:

1761 3RD AVE APT 12F
NEW YORK, NY
10029-6818

Practice Phone: 718-297-8000
Practice Fax:

1770213621 — VITALCHECK WELLNESS
Practice Location Address:

241 W 37TH ST RM 402
NEW YORK, NY
10018-6818

Practice Phone: 312-912-2408
Practice Fax:

1134171945 — DR. TERESA MARIE RUSSELL PSYD, LCPC, LCADC
Practice Location Address:

10299 REINDEER PL
NEW MARKET, MD
21774-6818

Practice Phone: 240-575-1206
Practice Fax:

1245365675 — CCDP INC
Practice Location Address:

1900 US HIGHWAY 70 E STE C
NEW BERN, NC
28560-6818

Practice Phone: 252-638-9046
Practice Fax: 252-638-9026

1568684892 — PREMCO, INC.
Practice Location Address:

11 BEECHWOOD AVE
NEW ROCHELLE, NY
10801-6818

Practice Phone: 914-636-7095
Practice Fax:

Directions to “ DR. ROSA VAZQUEZ PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.