Basic Information
| Provider Information | |||||||||
| NPI: | 1831818533 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VARGAS | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 448 W 167TH ST APT 2A | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100324536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106147886 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1894 WALTON AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104536018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185833060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2022 | ||||||||
| LastUpdateDate: | 08/30/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 853793 | NY | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 350266 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.