Organization
THE VILLAGE PHYSICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN J SIBERY M.D. (PRESIDENT)
(917) 318-2492
Entity
Organization
Contact information
Practice address
214 FIFTH AVE, PELHAM, NY 10803-1547
(914) 813-1624
(914) 813-1624
Mailing address
214 FIFTH AVE, PELHAM, NY 10803-1547
(914) 813-1624
(914) 813-1624
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
240355
NY
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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