Dr. Mary G. Versfelt
Pediatrician
12 Rye Ridge Plz
Rye Brook
, New York 10573-2820
Dr. Mary G. Versfelt
Pediatrician
12 Rye Ridge Plz
Rye Brook
, New York 10573-2820
(914) 251-1109
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Mary G. Versfelt
- 12 Rye Ridge Plz
- Rye Brook, NY
- Zip : 10573-2820
- Fax : (914) 251-1109
- Phone : (914) 251-1100
Second Address
- Dr. Mary G. Versfelt
- 12 Rye Ridge Plz
- Rye Brook, NY
- Zip : 10573-2820
- Fax : (914) 251-1109
- Phone : (914) 251-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 022782 | CT |
| Y | 208000000X | Pediatrician | 141198 | NY |
National Provider Identifier
| NPI | 1003991316 |
|---|---|
| Provider Name | Dr. Mary G. Versfelt |
| First Address | Rye Brook, NY 10573-2820 |
| Second Address | Rye Brook, NY 10573-2820 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 13-3046781 | TAX ID (01) | |
| WP819 | OXFORD PROVIDER ID (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.