MEDICARE: ROSYNEL 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1831522895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSYNEL VARGAS

Provider Business Mailing Address
First Line	:	5030 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-1609
Country	:	US
Telephone Number	:	212-795-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 2ND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2711
Country	:	US
Telephone Number	:	718-514-6009
Fax Number	:

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

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	12/03/2024

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Directions to “ ROSYNEL VARGAS ” Practice Location

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