Individual
NATHAN E VANDERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2162
(716) 816-2161
Mailing address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2162
(716) 816-2161
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
626110
NY
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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