Vega, Coralys Mercedes
Vega, Coralys Mercedes is an individual health care provider with primary practice located at 4053 75Th St , Elmhurst NY 11373-1011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vega, Coralys Mercedes can be contacted via phone (718) 426-6270.Contact Information
Primary practice address
4053 75Th St
Elmhurst NY 11373-1011
Phone: (718) 426-6270
Fax: (718) 504-5422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 220555 | New York |
Profile Details
| NPI number | 1093853897 |
|---|---|
| LBN Legal business name | Vega, Coralys Mercedes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093853897 | NPPES |
| New York | MEDICAID | 02167191 |
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