Marc Vital-Herne Physician,P.C

LBN: Marc Vital-Herne Physician,P.C
Marc Vital-Herne Physician,P.C is an health care organization with primary practice located at 2016 Bronxdale Ave Suite # 101, Bronx NY 10462-3388. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Marc Vital-Herne Physician,P.C can be contacted via phone (718) 918-1102, or through Vital-Herne, Marc via phone (516) 410-6946.

Contact Information

Primary practice address
2016 Bronxdale Ave Suite # 101 Bronx NY 10462-3388
Fax: (718) 918-9756
Website:
Authorized official contact:
Name: Vital-Herne, Marc Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 197500 New York

Profile Details

NPI number 1669612966
LBN Legal business name Marc Vital-Herne Physician,P.C
DBA Doing business as
Authorized official Vital-Herne, Marc Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2009
Last updated Feb 26th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669612966 NPPES
New York MEDICAID 01591244

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