Organization
VANLARE MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN METZ VANLARE MD (MEMBER)
(973) 978-5241
Entity
Organization
Contact information
Practice address
460 BEECHMONT DR, NEW ROCHELLE, NY 10804-4613
(914) 200-3782
Mailing address
PO BOX 25272, FARMINGTON, NY 14425-0272
(914) 200-3782
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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