Herman, Craig Preston
Herman, Craig Preston is an individual health care provider with primary practice located at 975 Westchester Ave , Bronx NY 10459-3204. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Herman, Craig Preston can be contacted via phone (718) 320-4466.Contact Information
Primary practice address
975 Westchester Ave
Bronx NY 10459-3204
Phone: (718) 320-4466
Fax: (718) 991-3829
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005627 | New York |
Profile Details
NPI number | 1124098686 |
---|---|
LBN Legal business name | Herman, Craig Preston |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Jul 22nd, 2014 - about 11 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 | 1124098686 | NPPES |
New York | MEDICAID | 00695941 | |
New York | MEDICAID | 02010240 |
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