Vanderburg, Douglas Glen

Vanderburg, Douglas Glen is an sole proprietor health care provider with primary practice located at 155 W 68Th St Apt. 28F, New York NY 10023-5808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Vanderburg, Douglas Glen can be contacted via phone (212) 799-4282.

Contact Information

Primary practice address
155 W 68Th St Apt. 28F New York NY 10023-5808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 205682 New York

Profile Details

NPI number 1477654812
LBN Legal business name Vanderburg, Douglas Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Mar 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers