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Jonathan Vanderbeck
NPI 1699266346 · on the registry since 2018
Practice
- Address
- 220 N Ballston Ave
Scotia, NY 12302 - Phone
- (518) 374-3514
- Organisation at this address
- Samaritan Licensed Clinical Social Work, Pc
Samaritan Licensed Clinical Social Work, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-19
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