Individual provider · Type 1 NPI

Jasmine Vigo, PA

Medical Physician Assistant · Bronx, NY

NPI number 1861647224 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Mailing address

PO Box 20453
New York, NY 10009-8965

Other practice locations

  • 707 E Main St, Middletown, NY 10940-2650 · (845) 333-3370

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X013032 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1861647224

Jasmine Vigo, PA's National Provider Identifier is 1861647224, issued on Nov 25, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Nov 27, 2023.