Organization
MARC VITAL-HERNE PHYSICIAN,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC VITAL-HERNE M.D (PREISDENT)
(516) 410-6946
Entity
Organization
Contact information
Practice address
2016 BRONXDALE AVE, SUITE # 101, BRONX, NY 10462-3388
(718) 918-1102
(718) 918-9756
Mailing address
2016 BRONXDALE AVE, SUITE # 101, BRONX, NY 10462-3388
(718) 918-1102
(718) 918-9756
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
197500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01591244
—
NY
Enumeration date
02/26/2009
Last updated
02/26/2009
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