Individual provider · Type 1 NPI

Jon Vandenburgh

Specialist · Huntington Station, NY

NPI number 1285265991 Active

Practice location

7 Cortelyou St W
Huntington Station, NY 11746-3306

Call (631) 258-5707 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1285265991

Jon Vandenburgh's National Provider Identifier is 1285265991, issued on Jan 31, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Huntington Station, NY. The record was last updated on Jan 31, 2020.