Provider Demographics
NPI:1073768685
Name:VERMA, MANISH (MD)
Entity Type:Individual
Prefix:DR
First Name:MANISH
Middle Name:
Last Name:VERMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:75 NEW SCOTLAND AVENUE
Mailing Address - Street 2:CAPITAL DISTRICT PSYCHIATRIC CENTER
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209
Mailing Address - Country:US
Mailing Address - Phone:518-549-6000
Mailing Address - Fax:718-334-5034
Practice Address - Street 1:75 NEW SCOTLAND AVENUE
Practice Address - Street 2:CAPITAL DISTRICT PSYCHIATRIC CENTER
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209
Practice Address - Country:US
Practice Address - Phone:518-549-6000
Practice Address - Fax:718-334-5034
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2018-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0032502084P0804X
NY2719172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry