Individual provider · Type 1 NPI
Zachary Van Gorder, PA
Medical Physician Assistant · Parish, NY
NPI number
1033876354
Active
Practice location
10 Carlton Dr
Parish, NY 13131-3308
Mailing address
61 Delano St
Pulaski, NY 13142-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 027726 (NY) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1033876354
Zachary Van Gorder, PA's National Provider Identifier is 1033876354, issued on Nov 22, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Parish, NY. The record was last updated on Nov 22, 2021.