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Contact Information

MANUEL VAZQUEZ SENIOR, MD
1 HOSPITAL DR
MASSENA, NY13662-1056
 Phone: 315-764-1711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MANUEL VAZQUEZ SENIOR · (Male)

NPI # 1134190481
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 01/27/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 173889
  • NY Medicaid 02097794
Hospital affiliation(s)
  • NASSAU UNIVERSITY MEDICAL CENTER - (Acute Care)
    2201 HEMPSTEAD TURNPIKE
    EAST MEADOW, NY 11554
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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