TED VANLUVENDER

VESTAL, NY
NPI1801587415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-05-16
Last Update Date2023-10-12
Business Address
TED VANLUVENDER PA
3101 SHIPPERS RD STE 202
VESTAL, NY 13850-2082
Phone number: 607-754-5342
Mailing Address
TED VANLUVENDER PA
169 RIVERSIDE DR
BINGHAMTON, NY 13905-4198
Phone number: