Marc Vital-Herne Physician,P.C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

197500 Issued in NY

Legal business name

MARC VITAL-HERNE PHYSICIAN,P.C

Practice address

2016 Bronxdale Ave
Suite # 101
Bronx, NY 10462-3388

Phone

(718) 918-1102

Fax

(718) 918-9756

NPI assigned

Feb 26, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Vital-Herne, M.D

Title

Preisdent

Phone

(516) 410-6946

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1669612966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 BRONXDALE AVE",
            "address_2": "SUITE # 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623388",
            "telephone_number": "718-918-1102",
            "fax_number": "718-918-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 BRONXDALE AVE",
            "address_2": "SUITE # 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623388",
            "telephone_number": "718-918-1102",
            "fax_number": "718-918-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC VITAL-HERNE PHYSICIAN,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "VITAL-HERNE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PREISDENT",
        "authorized_official_telephone_number": "516-410-6946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "197500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01591244",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.