Provider Demographics
NPI:1013411867
Name:MCPHERSON, VICTOR ALLON (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:ALLON
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1233 YORK AVE APT 21I
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6342
Mailing Address - Country:US
Mailing Address - Phone:551-444-8672
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:551-444-8672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP05550208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology