David M Herzog Md Pc

LBN: David M Herzog Md Pc
David M Herzog Md Pc is an health care organization with primary practice located at 1855 Richmond Ave , Staten Island NY 10314-3909. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as the primary health care specialty. David M Herzog Md Pc can be contacted via phone (347) 745-2828, or through Herzog, David M via phone (347) 745-2828.

Contact Information

Primary practice address
1855 Richmond Ave Staten Island NY 10314-3909
Phone: (347) 745-2828
Fax: (718) 761-7226
Website:
Map and Directions
Authorized official contact:
Name: Herzog, David M Doctor of Medicine (MD)
Phone: (347) 745-2828

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 172295-NY New York

Profile Details

NPI number 1033225370
LBN Legal business name David M Herzog Md Pc
DBA Doing business as
Authorized official Herzog, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033225370 NPPES
New York MEDICAID 1195353

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