Individual
DR. ZACHARY D VREDENBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6620 FLY RD STE 200, EAST SYRACUSE, NY 13057-4282
(315) 464-4472
(315) 464-5229
Mailing address
6620 FLY RD STE 200, EAST SYRACUSE, NY 13057-4282
(315) 464-4472
(315) 464-5229
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
300286
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
300286
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2013
Last updated
12/10/2019
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