Individual
M IRENE VANDERHOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1145 GLENWOOD AVE, ONEIDA, NY 13421-7111
(315) 363-4070
(315) 363-8768
Mailing address
1145 GLENWOOD AVE, ONEIDA, NY 13421-7111
(315) 363-4070
(315) 363-8768
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01487874
—
NY
Enumeration date
08/20/2006
Last updated
07/08/2007
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