Individual provider · Type 1 NPI

Teofilo Isaul Vasquez

Adult Health Nurse Practitioner · Jamaica, NY

NPI number 1619836640 Active

Practice location

11515 Sutphin Blvd
Jamaica, NY 11434-1020

Fax (347) 682-4302

Mailing address

PO Box 746087
Atlanta, GA 30374-6087

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X312501 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1619836640

Teofilo Isaul Vasquez's National Provider Identifier is 1619836640, issued on Jan 16, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jamaica, NY. The record was last updated on Feb 13, 2026.