Herzog, David A
Herzog, David A is an individual health care provider with primary practice located at 1 Theall Rd , Rye NY 10580-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Herzog, David A can be contacted via phone (914) 848-8700.Contact Information
Primary practice address
1 Theall Rd
Rye NY 10580-1404
Phone: (914) 848-8700
Fax: (914) 682-6403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 151221 | New York |
Profile Details
| NPI number | 1093788374 |
|---|---|
| LBN Legal business name | Herzog, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Oct 16th, 2013 - 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 | 1093788374 | NPPES |
| New York | MEDICAID | 01194325 |
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