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NPI Code Detail

MEDICARE: PHILIP VAZQUEZ

MEDICARE: PHILIP VAZQUEZ
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
1231H00000XAudiologist001233-1NY

General Provider Information

NPI Number : 1568415958
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP VAZQUEZ
Provider Business Mailing Address
First Line : 208 ELMWOOD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-2608
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 142 JORALEMON ST
Second Line : SUITE 6A
City : BROOKLYN
State : NY
Zip : 11201-4709
Country : US
Telephone Number : 718-875-2159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/28/2008

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Directions to “ PHILIP VAZQUEZ ” Practice Location

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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.

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