Individual
AILEEN VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 ROUTE 32, CENTRAL VALLEY, NY 10917-3613
(845) 827-6227
Mailing address
142 GRAND ST, GOSHEN, NY 10924-1834
(845) 304-8036
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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