Individual
MARK D VERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 READE PL, 3RD FLOOR - SUITE 3200, POUGHKEEPSIE, NY 12601-3912
(845) 204-6125
(845) 471-8296
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
220446
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165020
—
NY
01
—
P01482571
RR MEDICARE PTAN
NY
Enumeration date
06/02/2006
Last updated
04/04/2019
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