Individual
RICHARD L VONHAGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 735-4623
(607) 737-4530
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333853
NY
363LF0000X
Family Nurse Practitioner
F333853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02553400
—
NY
Enumeration date
01/22/2007
Last updated
11/14/2015
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