Individual
CHAD M VANDERBILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065
(212) 639-8338
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8338
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
287514
NY
Other
Enumeration date
07/05/2012
Last updated
06/18/2018
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