Individual provider · Type 1 NPI

Jaime Vanderburgh

Medical Physician Assistant · New York, NY

NPI number 1437860681 Active

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Mailing address

558 Fulton St Apt 1209
Brooklyn, NY 11217-4362

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1437860681

Jaime Vanderburgh's National Provider Identifier is 1437860681, issued on Dec 8, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Dec 8, 2022.