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Contact Information

KANEZZIA WILLIAMS VARGAS
9 STARKS PL
LYNBROOK, NY11563-4024
 Phone: 347-906-0890
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KANEZZIA WILLIAMS VARGAS · (Female)

NPI # 1295514081
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2023
Last updated 09/21/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 010425
Hospital affiliation(s) Not Available
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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