NPI 1205805934

Douglas J Vander Heide Mdpc

Organisation Legal Medicine New York, NY

Practice location

Address: 7 E 85th St APT G, New York, NY 10028-0440
Phone: (212) 772-6443
Mailing address: 10 E 85th St 5a, Nyc, NY 10028-0412

Authorised official

Name: Douglas J van der Heide
Title: Sole Proprieter
Phone: (212) 772-6443

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 131230 (NY)

Other Legal Medicine providers in New York →

Registry record

NPI: 1205805934
Entity type: Organization
NPI issued: 15 Mar 2006
Record last updated: 1 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.