Individual
DAVID P VIGEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
40 MAIN ST, ANTWERP, NY 13608-4164
(315) 659-8993
(315) 659-2418
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 535-9202
(315) 535-9207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004813
LICENSE
NY
Enumeration date
11/17/2005
Last updated
10/16/2007
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