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Contact Information

CHAD M VANDERBILT, MD
1275 YORK AVE
NEW YORK, NY10065
 Phone: 212-639-8338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Molecular Genetic Pathology

207ZP0007X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHAD M VANDERBILT · (Male)

NPI Number 1790040889
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2012
Last updated 06/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 287514
Hospital affiliation(s)
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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