| Marvin A Nierenberg, M.d.,p.c. | |
|
15 West 81st Street 1-b New York NY 10024-6022 | |
| (212) 874-6484 | |
| (212) 874-0104 |
| Full Name | Marvin A Nierenberg, M.d.,p.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15 West 81st Street, New York, New York |
| Authorized Official Name and Position | Marvin Alfred Nierenberg (PRESIDENT) |
| Authorized Official Contact | 2128746484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin A Nierenberg, M.d.,p.c. 15 West 81st Street 1-b New York NY 10024-6022 Ph: () - | Marvin A Nierenberg, M.d.,p.c. 15 West 81st Street 1-b New York NY 10024-6022 Ph: (212) 874-6484 |
| NPI Number | 1285941096 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 09/01/2010 |
| Medicare PECOS PAC ID | 0648465575 |
|---|---|
| Medicare Enrollment ID | O20101117000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285941096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 087188 (New York) | Primary |
| Provider Name | Marvin A Nierenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780891655 PECOS PAC ID: 0042405979 Enrollment ID: I20101117000510 |
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