Individual provider · Type 1 NPI

Gerda L. Van de Vegte, MD

Body Imaging Physician · Stony Brook, NY

NPI number 1629010004 Active

Practice location

University Hospital, L4
Stony Brook, NY 11794-0001

Call (631) 444-6919 Map

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician Primary 2085B0100X163824 (NY)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

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About NPI 1629010004

Gerda L. Van de Vegte, MD's National Provider Identifier is 1629010004, issued on Jun 12, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 28, 2010.