Individual
MARY VERNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, N-506, NEW YORK, NY 10065
(212) 746-3530
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
279460-1
NY
Other
Enumeration date
04/11/2012
Last updated
09/26/2018
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