Individual
MARIA SY-VINLUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 RIDGEHAVEN DR, VESTAL, NY 13850-2640
(607) 786-4822
(607) 786-3837
Mailing address
3101 SHIPPERS RD STE 203, VESTAL, NY 13850-2082
(607) 786-4822
(607) 786-3837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
191036
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449572
—
NY
Enumeration date
11/13/2006
Last updated
03/18/2021
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