Mauricio Vergara
Mauricio Vergara is a Nurse Practitioner in Lynbrook, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 3
- Licensed in
- NY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
67 Chestnut StLynbrook, NY 11563-1838
Phone: (917) 612-4401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 311550 (NY) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 311550 (NY) |
Record details
| NPI number | 1831966985 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 8, 2023 |
| Last updated in NPPES | December 8, 2023 |
| Certification date | December 8, 2023 |
| Mailing address | 67 Chestnut St, Lynbrook, NY 11563-1838 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |