Organization
KENNETH G VANDINE MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PAUL VOSSLER (OFFICE MANAGER)
(585) 593-6041
Entity
Organization
Contact information
Practice address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-6041
Mailing address
12 MARTIN ST, WELLSVILLE, NY 14895-1057
(585) 593-6041
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01579717
—
NY
Enumeration date
10/11/2006
Last updated
10/04/2010
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