Provider Demographics
NPI:1508234634
Name:VEGA, MARGARITA (RN)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:VEGA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WINDGATE CT
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-4115
Mailing Address - Country:US
Mailing Address - Phone:845-325-1377
Mailing Address - Fax:
Practice Address - Street 1:3 WINDGATE CT
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-4115
Practice Address - Country:US
Practice Address - Phone:845-325-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-05
Last Update Date:2015-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY657142163W00000X
NJ26NR13451700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse