Vergara, Mauricio

Vergara, Mauricio is an sole proprietor health care provider with primary practice located at 67 Chestnut St , Lynbrook NY 11563-1838. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Vergara, Mauricio can be contacted via phone (917) 612-4401.

Contact Information

Primary practice address
67 Chestnut St Lynbrook NY 11563-1838
Phone: (917) 612-4401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 311550 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 311550 New York

Profile Details

NPI number 1831966985
LBN Legal business name Vergara, Mauricio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2023
Last updated Dec 8th, 2023 - about 3 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.

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