Provider Demographics
NPI:1558641522
Name:VEGA-TOOMEY, JEAN BONITA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:BONITA
Last Name:VEGA-TOOMEY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5455
Mailing Address - Country:US
Mailing Address - Phone:914-372-2253
Mailing Address - Fax:914-524-7661
Practice Address - Street 1:303 S BROADWAY
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5455
Practice Address - Country:US
Practice Address - Phone:914-372-2253
Practice Address - Fax:914-524-7661
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205852163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse