Provider Demographics
NPI:1265876486
Name:VARGO, RODICA (MD)
Entity type:Individual
Prefix:DR
First Name:RODICA
Middle Name:
Last Name:VARGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 INDEPENDENCE AVE
Mailing Address - Street 2:APT 4H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1219
Mailing Address - Country:US
Mailing Address - Phone:718-543-5258
Mailing Address - Fax:
Practice Address - Street 1:4701 QUEENS BLVD STE 303
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1622
Practice Address - Country:US
Practice Address - Phone:718-707-3434
Practice Address - Fax:718-707-3435
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287766208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics