Individual
VANITA KAVETY SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
377 CHURCH ST, SARATOGA SPRINGS, NY 12866-8641
(518) 430-2757
(518) 649-4132
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
219906
NY
207Q00000X
Family Medicine Physician
219906
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03301379
—
NY
Enumeration date
02/27/2007
Last updated
05/13/2021
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