Individual
MR. CLAY J VANDOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 428-5074
(607) 428-5077
Mailing address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 428-5074
(607) 428-5077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
194911-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01821916
—
NY
Enumeration date
07/24/2006
Last updated
06/18/2010
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