Provider Demographics
NPI:1831394576
Name:VAZQUEZ, HECTOR (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-6023
Mailing Address - Fax:718-283-6037
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-6023
Practice Address - Fax:718-283-6037
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2313162080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine