Individual provider · Type 1 NPI

Stella Vanegas

Medical Physician Assistant · St. James, NY

NPI number 1154744027 Active

Practice location

735 Middle Country Rd
St. James, NY 11780-3211

Mailing address

1545 Heckscher Ave
Bay Shore, NY 11706-2408

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X017340 (NY)

Medical Physician Assistant: Definition to come...

About NPI 1154744027

Stella Vanegas's National Provider Identifier is 1154744027, issued on Jan 29, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. James, NY. The record was last updated on Oct 27, 2016.