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Dr. Sergio Jose Tejada Vargas, MD
Student in an Organized Health Care Education/Training Program in Bay Shore, New York
NPI 1972205862

Sergio Jose Tejada Vargas is a Student in an Organized Health Care Education/Training Program based in Bay Shore, NY. Sergio Jose Tejada Vargas practices in Bay Shore, NY and has the professional credentials of MD. The NPI Number for Sergio Jose Tejada Vargas is 1972205862 and holds a License No. (New York).

The current practice location address for Sergio Jose Tejada Vargas is 301 East Main Street, Bay Shore, NY and can be reached out via phone at 631-894-5948. You can also correspond with Sergio Jose Tejada Vargas through the mailing address at 301 EAST MAIN STREET, BAY SHORE, NY - 11706-8458 (mailing address contact number: 631-894-5948).

Location: 301 East Main Street, Bay Shore, NY, 11706-8458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972205862
Provider Name
Sergio Jose Tejada Vargas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 East Main Street, Bay Shore, NY, 11706-8458
Phone Number
631-894-5948
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 East Main Street
City
Bay Shore
State
New York
Zip
11706-8458
Phone Number
631-894-5948
Fax Number
person
Provider Business Mailing Address Details
Address
301 East Main Street
City
Bay Shore
State
New York
Zip
11706-8458
Phone Number
631-894-5948
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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