Provider Demographics
NPI:1750925251
Name:VARGAS, EMILY JUSTINE
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JUSTINE
Last Name:VARGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3519 147TH ST APT 9C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3729
Mailing Address - Country:US
Mailing Address - Phone:347-341-3754
Mailing Address - Fax:
Practice Address - Street 1:3519 147TH ST APT 9C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3729
Practice Address - Country:US
Practice Address - Phone:347-341-3754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-29
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty