| Dr Manuel Vazquez-senior, MD | |
|
1 Hospital Dr, Massena, NY 13662-1056 | |
| (315) 764-1711 | |
| Not Available |
| Full Name | Dr Manuel Vazquez-senior |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1 Hospital Dr, Massena, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134190481 | NPI | - | NPPES |
| 02097794 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 173889 (New York) | Primary |
| Entity Name | Upstate Anesthesia Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629272141 PECOS PAC ID: 0840383857 Enrollment ID: O20070907000237 |
| Entity Name | Endoscopy Center Of Long Island Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770718009 PECOS PAC ID: 2668370123 Enrollment ID: O20090416000311 |
| Entity Name | Sg Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750608238 PECOS PAC ID: 7214067545 Enrollment ID: O20100614000489 |
| Entity Name | Queens Endoscopy Asc Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780935528 PECOS PAC ID: 0941447023 Enrollment ID: O20130509000029 |
| Entity Name | Advantagecare Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
| Entity Name | Liberty Endoscopy Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1689029316 PECOS PAC ID: 8426338245 Enrollment ID: O20161213000174 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manuel Vazquez-senior, MD 202 Taughannock Blvd, Po Box 366, Ithaca, NY 14850-3328 Ph: (607) 277-4035 | Dr Manuel Vazquez-senior, MD 1 Hospital Dr, Massena, NY 13662-1056 Ph: (315) 764-1711 |