Herzog, David M

Herzog, David M is an individual health care provider with primary practice located at 1855 Richmond Ave , Staten Island NY 10314-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Herzog, David M can be contacted via phone (718) 761-7212.

Contact Information

Primary practice address
1855 Richmond Ave Staten Island NY 10314-3909
Phone: (718) 761-7212
Fax: (718) 351-1693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 172295 New York

Profile Details

NPI number 1487618468
LBN Legal business name Herzog, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jun 27th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487618468 NPPES
New York MEDICAID 01195353

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