Vandoren, Clay J
Vandoren, Clay J is an individual health care provider with primary practice located at 134 Homer Ave , Cortland NY 13045-1206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vandoren, Clay J can be contacted via phone (607) 428-5074.Contact Information
Primary practice address
134 Homer Ave
Cortland NY 13045-1206
Phone: (607) 428-5074
Fax: (607) 428-5077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 194911-1 | New York |
Profile Details
| NPI number | 1437171113 |
|---|---|
| LBN Legal business name | Vandoren, Clay J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jun 18th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437171113 | NPPES |
| New York | MEDICAID | 01821916 |
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