James D Kondrup M.D, Pc in Vestal - Specialist

James D Kondrup M.D, Pc - NPI 1487759445

James D Kondrup M.D, Pc is a Specialist in Vestal, New York. James D Kondrup M.D, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for James D Kondrup M.D, Pc is 1487759445. The last update date is 2008-06-17.

James D Kondrup M.D, Pc's current location address is 200 Plaza Dr, Vestal, New York. You can contact this provider via phone number 6077977070 and fax number 6077979048. The mailing address for James D Kondrup M.D, Pc is 200 Plaza Dr, Vestal, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization James D Kondrup M.D, Pc
Address 200 Plaza Dr, Vestal, New York
Phone Number 6077977070
Fax Number 6077979048
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Kondrup Dana James
Credentials M.D
Telephone Number 6077977070

NPI Number Detail

NPI Number 1487759445
Provider Enumeration Date 2006-09-14
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 200 Plaza Dr
City Vestal
State New York (NY)
Post Code 138503680
Phone Number 6077977070
Fax Number 6077979048

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 1774463
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about James D Kondrup M.D, Pc

What is the unique 10-digit identification code assigned to James D Kondrup M.D, Pc by the Centers for Medicare & Medicaid Services?

The James D Kondrup M.D, Pc has been issued the NPI (National Provider Identifier) 1487759445, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of James D Kondrup M.D, Pc?

The James D Kondrup M.D, Pc is situated at 200 Plaza Dr, in the city of Vestal, state of NY, with the zip code 138503680.

What is the area of specialization for James D Kondrup M.D, Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for James D Kondrup M.D, Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1487759445 to James D Kondrup M.D, Pc?

The Centers for Medicare & Medicaid Services originally issued the 1487759445 to James D Kondrup M.D, Pc on 2006-09-14.

As of what date was the information pertaining to James D Kondrup M.D, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to James D Kondrup M.D, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-17.

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