Search › New York › 225100000X
Jeremy Vandevender, P.T
NPI 1487691416 · on the registry since 2006
Practice
- Address
- 4434 Amboy Rd
Staten Island, NY 10312 - Phone
- (718) 227-7015
- Fax
- (718) 227-6411
- Organisation at this address
- Paul Mitchell Kelleher
Agnieszka Antecka Pt Pc
Si Behavioral Network, Inc.
Digestive Disease Consultants PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-10
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