Individual
DR. DIMITRI VITAL-HERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
310854
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2017
Last updated
08/06/2021
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