Healthcare Provider Details

I. General information

NPI: 1861902777
Provider Name (Legal Business Name): BIRGIT VOGEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 5TH AVE
NEW YORK NY
10029-6503
US

IV. Provider business mailing address

ONE GUSTAVE L. LEVY PLACE, BOX 1030, MC 2400
NEW YORK NY
10029-6574
US

V. Phone/Fax

Practice location:
  • Phone: 212-427-1540
  • Fax: 212-410-7196
Mailing address:
  • Phone: 212-659-9681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number310032
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: