National Provider Identifier

Patrick Vandermark

Patrick Vandermark is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Webster, NY and a listed phone number of (585) 645-7917.

NPI 1790483758Webster, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1790483758
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
February 20, 2023
Last Updated
February 20, 2023

Practice Location

  • 1626 Glendowan Ter
  • Webster, NY 14580-8571

Phone: (585) 645-7917

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1790483758
Entity Type
Individual
Last Name
Vandermark
First Name
Patrick
Mailing Street Address
1626 Glendowan Ter
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-8571
Mailing Country
US
Mailing Phone
(585) 645-7917
Practice Street Address
1626 Glendowan Ter
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-8571
Practice Country
US
Practice Phone
(585) 645-7917
Enumeration Date
February 20, 2023
Last Updated
February 20, 2023
Sex
Male
Sole Proprietor
No
Certification Date
February 20, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)