Organization
DOUGLAS J. VAN DER HEIDE, M.D. LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS JOHN VAN DER HEIDE MD (PRESIDENT)
(212) 920-5228
Entity
Organization
Contact information
Practice address
7 E 85TH ST APT B, NEW YORK, NY 10028-0442
(212) 920-5228
Mailing address
10 E 85TH ST, NEW YORK, NY 10028-0412
(212) 920-5228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
131230
NY
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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