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Individual

DR. JAMES HERIVAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
416 E 76TH ST, 4TH FLOOR, NEW YORK, NY 10021-3104
(212) 434-5393
Mailing address
416 E 76TH ST, 4TH FLOOR, NEW YORK, NY 10021-3104
(212) 434-5393

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
194186
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01890775
NY
Enumeration date
07/13/2006
Last updated
10/09/2007
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