Marc Vital-herne M.D

NPI 1063489599 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063489599
Gender Male
Enumeration Date 03/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4422 3RD AVE
ST. BARNABAS HOSPITAL DEPT OF PSYCHIATRY
BRONX NY, 10457-2545, US
Phone (718) 960-6159
Fax (718) 960-3272
Business Location
16 MARILYN LN
WESTBURY NY, 11590-2835, US
Phone (718) 960-6159
Fax (718) 960-3272
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 197500
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According to our database, Dr. Marc Vital-herne M.D NPI is 1063489599, taxonomy code is 2084P0800X and license number is 197500, license state is located at New York. Marc Vital-herne M.D physically located at 4422 3rd Ave, Bronx NY, 10457-2545. NPI Number Marc Vital-herne M.D has the Individual type.

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1063489599 NPI number is provided on an as is basis without warranty of any kind. 1063489599 is maintained by the National Plan & Provider Enumeration System. The contents of Marc Vital-herne M.D are for informational purposes only.