Provider Demographics
NPI:1154369288
Name:VERY, MARK D (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:D
Last Name:VERY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 WHITE PLAINS RD FL 4
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5139
Mailing Address - Country:US
Mailing Address - Phone:914-984-2546
Mailing Address - Fax:
Practice Address - Street 1:21 READE PL
Practice Address - Street 2:3RD FLOOR - SUITE 3200
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3912
Practice Address - Country:US
Practice Address - Phone:845-204-6125
Practice Address - Fax:845-471-8296
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2019-04-04
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Provider Licenses
StateLicense IDTaxonomies
NY220446207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01482571OtherRR MEDICARE PTAN
NY02165020Medicaid
NY02165020Medicaid