Mary Vesoniaraki MD

NPI 1083698807 - Internal Medicine - 207RH0003X

NPI Details
NPI 1083698807
Gender Female
Enumeration Date 12/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
256 MASON AVE
STATEN ISLAND NY, 10305-3408, US
Phone (718) 226-6400
Fax (718) 226-6404
Business Location
1 EDGEWATER ST
SUITE 732
STATEN ISLAND NY, 10305-4900, US
Phone (718) 226-1013
Fax (718) 226-1039
Toxanomy
Taxonomy Code 207RH0003X
License State New York
License Number 125343
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According to our database, Dr. Mary Vesoniaraki MD NPI is 1083698807, taxonomy code is 207RH0003X and license number is 125343, license state is located at New York. Mary Vesoniaraki MD physically located at 256 Mason Ave, Staten Island NY, 10305-3408. NPI Number Mary Vesoniaraki MD has the Individual type.

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1083698807 NPI number is provided on an as is basis without warranty of any kind. 1083698807 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Vesoniaraki MD are for informational purposes only.