Individual
DR. MARY G. VERSFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 RYE RIDGE PLZ, RYE BROOK, NY 10573-2820
(914) 251-1100
(914) 251-1109
Mailing address
12 RYE RIDGE PLZ, RYE BROOK, NY 10573-2820
(914) 251-1100
(914) 251-1109
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
022782
CT
208000000X
Pediatrics Physician
Primary
141198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3046781
TAX ID
—
01
—
WP819
OXFORD PROVIDER ID
—
Enumeration date
10/26/2006
Last updated
07/08/2007
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