Individual
DR. MATIAS AUGUSTO VERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 POPHAM RD APT 1H, SCARSDALE, NY 10583-4227
(646) 202-2921
(208) 203-6415
Mailing address
45 POPHAM RD APT 1H, SCARSDALE, NY 10583-4227
(646) 202-2921
(646) 786-3369
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234258
NY
2084P0804X
Child & Adolescent Psychiatry Physician
234258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02449154
MEDICAD #
NY
01
—
1285628552
AGENCY
NY
01
—
234258
LICENSE
NY
01
—
WVE061
MEDICARE #
NY
Enumeration date
05/09/2007
Last updated
07/21/2024
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