SearchNew York101YA0400X

Douglas Vantassell, CASAC-T

NPI 1487196580 · on the registry since 2016 · sole proprietor

Practice

Address
5 Penfield Dr
East Northport, NY 11731
Phone
(631) 239-5071
Fax
(631) 239-5071

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2016-11-07

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