Versfelt, Mary G.

Versfelt, Mary G. is an individual health care provider with primary practice located at 12 Rye Ridge Plz , Rye Brook NY 10573-2820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Versfelt, Mary G. can be contacted via phone (914) 251-1100.

Contact Information

Primary practice address
12 Rye Ridge Plz Rye Brook NY 10573-2820
Fax: (914) 251-1109
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 141198 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022782 Connecticut

Profile Details

NPI number 1003991316
LBN Legal business name Versfelt, Mary G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003991316 NPPES
Other WP819 OXFORD PROVIDER ID
Other 13-3046781 OXFORD PROVIDER ID

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