Individual
STEPHEN VANGELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1367 WASHINGTON AVE STE 100, ALBANY, NY 12206-1043
(518) 438-8364
Mailing address
711 TROY SCHENECTADY RD STE 209, LATHAM, NY 12110-2461
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012145-01
NY
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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