Joy Vanderberg
Technician, Other in Pearl River, NY. Individual provider (NPI-1).
NPI number1982143780
StatusActive
Last updated in NPPESFeb 14, 2017
Details
- NPI
- 1982143780
- Entity type
- Individual (NPI-1)
- Name
- Joy Vanderberg
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2017
- Last updated
- Feb 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | NY | Yes |
Practice location
19 N William StPearl River, NY 10965-2316
Phone 201-707-8865
Mailing address
30 Westmoreland AveMontvale, NJ 07645-2225
Phone 201-707-8865
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