Individual
VINCENT S LADELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1243 PENNSYLVANIA AVE, PINE CITY, NY 14871-9230
(570) 734-6281
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
157419-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01027590
—
NY
Enumeration date
09/01/2006
Last updated
06/14/2013
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