Jason Vandewater's National Provider Identifier (NPI) Details
Jason Vandewater, LCSW
NPI: 1912351883
Enumeration Date: 2016-04-18
Last updated: 2016-04-18
Sole Proprietor: NO
Status: active
Postal Address: 1 FARMINGDALE ROAD, WEST BBABYLON, NY
Phone: 631-669-5355
Primary Practice Address: 1 FARMINGDALE ROAD, WEST BBABYLON, NY
Practice's phone: 631-669-5355