Individual
DR. MARKO S HERCEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
90 N BROADWAY STE 207, IRVINGTON, NY 10533-3200
(914) 419-3936
(914) 419-3936
Mailing address
90 N BROADWAY STE 207, IRVINGTON, NY 10533-3200
(914) 419-3936
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
002541
CT
103G00000X
Clinical Neuropsychologist
014306-01
NY
103G00000X
Clinical Neuropsychologist
Primary
0143061
NY
103TR0400X
Rehabilitation Psychologist
002541
CT
Other
Enumeration date
12/20/2005
Last updated
01/11/2021
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