Voncile Vanover, LPN
Individual provider Active NPI Massage Therapist · Grand Island, NY
NPI 1083936330 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1083936330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 023053 (NY)
- Practice address
- 2283 Grand Island Blvd
Grand Island, NY 14072 - Phone
- (716) 773-2222
- Fax
- (866) 907-6157
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060197 | NY | MD | Pharmacist |
| 023053 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Island Chiropractic PC | Current |
Accepting new patients | |
| Horizon Health Services Inc | Past |
Accepting new patients | |
| Jewish Family Services of Western New York | Past |
Accepting new patients |
Locations
2283 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 580-3044
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 023053 | NY | Yes |
Addresses
Primary practice location
2283 Grand Island Blvd
Grand Island, NY 14072
Mailing address
2283 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-2222
Other providers in Grand Island, NY
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- Samantha Marie Tycz
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- Lisa Pirrone Vanderbrook
- Christine Marie Vanhouten
- Frances M Vanoyen
- Justin Varney
- Michele Vaughn
- Nadina Villano
- Julie Vinkle
All providers in Grand Island, NY · Massage Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.