Provider Demographics
NPI:1518142744
Name:GARCIA VAZQUEZ, MARIA M (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:GARCIA VAZQUEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 SHORE PKWY APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6504
Mailing Address - Country:US
Mailing Address - Phone:347-587-4155
Mailing Address - Fax:718-951-3205
Practice Address - Street 1:2325 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4529
Practice Address - Country:US
Practice Address - Phone:718-951-0518
Practice Address - Fax:718-951-3205
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist