Herdzik, Katherine
Herdzik, Katherine is an individual health care provider with primary practice located at 202 S Central Ave , Mechanicville NY 12118-3530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Herdzik, Katherine can be contacted via phone (518) 664-6125.Contact Information
Primary practice address
202 S Central Ave
Mechanicville NY 12118-3530
Phone: (518) 664-6125
Fax: (518) 664-2851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 183321 | New York |
Profile Details
| NPI number | 1801857214 |
|---|---|
| LBN Legal business name | Herdzik, Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | May 27th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801857214 | NPPES |
| New York | MEDICAID | 01204535 |
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