| Douglas J. Van Der Heide, M.d. Llp | |
|
7 E 85th St Apt B New York NY 10028-0442 | |
| (212) 920-5228 | |
| Not Available |
| Full Name | Douglas J. Van Der Heide, M.d. Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7 E 85th St Apt B, New York, New York |
| Authorized Official Name and Position | Douglas John Van Der Heide (PRESIDENT) |
| Authorized Official Contact | 2129205228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas J. Van Der Heide, M.d. Llp 10 E 85th St New York NY 10028-0412 Ph: (212) 920-5228 | Douglas J. Van Der Heide, M.d. Llp 7 E 85th St Apt B New York NY 10028-0442 Ph: (212) 920-5228 |
| NPI Number | 1457651614 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 9739368317 |
|---|---|
| Medicare Enrollment ID | O20110128000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457651614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 131230 (New York) | Primary |
| Provider Name | Douglas J Van Der Heide |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831168624 PECOS PAC ID: 3476629791 Enrollment ID: I20080910000060 |
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