Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 219651 | NY |
NPI | 1013081272 |
---|---|
Provider Name | Dr. Nubia Stella Vargas-Chen |
First Address | Stony Brook, NY 11790-0989 |
Second Address | Smithtown, NY 11787-2982 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 05/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H31447 | (02) | NY |