Individual
MON VERA
Active
Individual
MON VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251165
NY
207RI0200X
Infectious Disease Physician
Primary
251165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03093390
—
NY
01
—
1003236
CIGNA/GREAT WEST
NY
01
—
VR1165
ATLANTIS
NY
Enumeration date
09/29/2005
Last updated
05/18/2026
Update your record
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