Mr Clay J Vandoren, DO | |
134 Homer Ave, Cortland, NY 13045-1206 | |
(607) 428-5074 | |
(607) 428-5077 |
Full Name | Mr Clay J Vandoren |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 134 Homer Ave, Cortland, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437171113 | NPI | - | NPPES |
01821916 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 194911-1 (New York) | Primary |
Entity Name | Soldiers & Sailors Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043353618 PECOS PAC ID: 0446164255 Enrollment ID: O20031117000348 |
Entity Name | Rochester General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | Clifton Springs Sanitarium Co |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
Mailing Address | Practice Location Address |
---|---|
Mr Clay J Vandoren, DO 134 Homer Ave, Cortland, NY 13045-1206 Ph: (607) 428-5074 | Mr Clay J Vandoren, DO 134 Homer Ave, Cortland, NY 13045-1206 Ph: (607) 428-5074 |
Dr. Ngozi C Mezu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-428-2800 Fax: 607-428-2803 | |
Dr. Stuart William Gillim, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1969 Timmerman Hill Rd., Cortland, NY 13045 Phone: 607-835-6570 | |
Dr. Elyn L Ring, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Euclid Ave, Cortland, NY 13045 Phone: 607-756-4974 | |
Taseer Ahmad Cheema, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 134 Homer Ave, Cortland, NY 13045 Phone: 607-428-5074 Fax: 607-758-8210 | |
Dr. Jared Michael Widell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Guthrie Cortland Medical Center, 134 Homer Avenue, Cortland, NY 13045 Phone: 607-756-3561 Fax: 607-756-3562 | |
Dr. Paula A Gauss, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Euclid Ave, Cortland, NY 13045 Phone: 607-756-4974 |