Provider Demographics
NPI:1346553229
Name:DR. VANDO MEDICAL SERVICES, PC
Entity Type:Organization
Organization Name:DR. VANDO MEDICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-373-2753
Mailing Address - Street 1:229 W 60TH ST
Mailing Address - Street 2:3-E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7497
Mailing Address - Country:US
Mailing Address - Phone:646-373-2753
Mailing Address - Fax:
Practice Address - Street 1:229 W 60TH ST
Practice Address - Street 2:3E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7497
Practice Address - Country:US
Practice Address - Phone:646-373-2753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty