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 |
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Address | 200 Plaza Dr, Vestal, New York |
Phone Number | 6077977070 |
Fax Number | 6077979048 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR |
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Authorized Official Name | Kondrup Dana James |
Credentials | M.D |
Telephone Number | 6077977070 |
NPI Number Detail
NPI Number | 1487759445 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 200 Plaza Dr |
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City | Vestal |
State | New York (NY) |
Post Code | 138503680 |
Phone Number | 6077977070 |
Fax Number | 6077979048 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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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. |
Post Comment/ Review Below
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.