Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VANIA MA, MD
ActiveVANIA MA, MD is a General Practice healthcare provider located in FORT DRUM, New York. NPI 1164161972 is currently active in the NPPES registry. Verify at CMS.
General Practice · FORT DRUM, NY
Registration Details
- NPI Number
- 1164161972
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2022 (4.2293024145213 yrs)
- Last Updated
- Aug 13, 2025
- Licenses
-
1164161972 (MD)1164161972 (MD)
Practice Information
- Address
-
USA MEDDAC11050 MT BELVEDERE BLVDFORT DRUM, NY, 136025004Browse NY providers · Browse ZIP 13602
- Phone
- 3157727059
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| BETHANY BROOKE PAJAK | D.O. | 1194011122 |
| QUAN M LUONG | D.O. | 1366705600 |
| DR. NATHAN LEE PRESTON | DO | 1336886134 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.