VANIA MA, MD

General Practice

Active Individual
NPI: 1164161972

Practice Address

USA MEDDAC
11050 MT BELVEDERE BLVD
Fort Drum, NY 13602

Phone: (315) 772-7059

Specialties

Specialty Code Primary License
Military Health Care Provider 171000000X No 1164161972 (MD)
General Practice 208D00000X Yes 1164161972 (MD)

Frequently Asked Questions

NPI 1164161972 is the National Provider Identifier for VANIA MA, MD, a General Practice provider located in Fort Drum, NY. This NPI was enumerated on May 31, 2022.
VANIA MA, MD practices at USA MEDDAC, 11050 MT BELVEDERE BLVD, Fort Drum, NY 13602.

Quick Facts

NPI
1164161972
Type
Individual
Enumerated
May 31, 2022
Last Updated
Aug 13, 2025

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