The Village Physician P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

240355 Issued in NY

Legal business name

THE VILLAGE PHYSICIAN P.C.

Practice address

214 Fifth Ave
Pelham, NY 10803-1547

Phone

(914) 813-1624

Fax

(914) 813-1624

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn J Sibery, M.D.

Title

President

Phone

(917) 318-2492

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1922255033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031547",
            "telephone_number": "914-813-1624",
            "fax_number": "914-813-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031547",
            "telephone_number": "914-813-1624",
            "fax_number": "914-813-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "SIBERY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-318-2492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "240355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symmetry Physical Therapy & Wellness, LLC (Symmetry Physical Therapy)
• Symmetry Physical Therapy & Wellness, LLC
• Lorraine C Tarsnane, R.N
• Vanessa Tessitore
• Gabrielle Thal-Pruzan
• Kamaljit K Thind, DPT
• Town of Pelham
• Vu Ho Tran
• Stanley Trocchia, DDS
• Edward Benjamin Tutiven, M.S.

• Primary Care Clinic/Center in Pelham, NY
• Providers in Pelham, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.