Search › New York › 101YA0400X
Freddie Vazquez-Rodriguez, CASAC-G, LCSW (RI)
NPI 1275958753 · on the registry since 2014 · sole proprietor
Practice
- Address
- 19 Union Sq W
Floor 7
New York, NY 10003 - Phone
- (212) 627-9600
- Fax
- (212) 627-4040
- Organisation at this address
- Realization Center
Realization Center, Inc.
Union Square Laser DermatologyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 194
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 104100000X
104100000X
1041C0700X - Licence states on file
- CT, IL, RI, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York