Most Relevant Information
Provider Data
| NPI Number: | 1003318239 |
| Provider Name: | MICHELE MARY VANDERHOOF LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 315193-1 |
Most Important Dates
| Enumeration Date: | 03/04/2018 |
| Last Updated: | 03/04/2018 |
Provider Practice Location
4835 OLD ONEIDA RD
VERONA
NY
134782111
Practice Location Phone/Fax
| Phone: | 3153610155 |
| Fax: |
Provider Mailing Location
4835 OLD ONEIDA RD
VERONA
NY
134782111
Provider Mailing Phone/Fax
| Phone: | 3153610155 |
| Fax: |