Individual
DR. DOUGLAS GLEN VANDERBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 W 68TH ST, APT. 28F, NEW YORK, NY 10023-5808
(212) 799-4282
Mailing address
155 W 68TH ST, APT. 28F, NEW YORK, NY 10023-5808
(917) 312-6918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
205682
NY
Other
Enumeration date
09/26/2006
Last updated
03/23/2020
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