Vandorn, Dana

Vandorn, Dana is an individual health care provider with primary practice located at 2233 State Route 86 , Saranac Lake NY 12983-5644. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vandorn, Dana can be contacted via phone (518) 897-2317.

Contact Information

Primary practice address
2233 State Route 86 Saranac Lake NY 12983-5644
Phone: (518) 897-2317
Fax: (518) 897-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005887 New York

Profile Details

NPI number 1801098538
LBN Legal business name Vandorn, Dana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801098538 NPPES
New York MEDICAID 00363213
New York Other 005887

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