Herzog, Richard J
Herzog, Richard J is an individual health care provider with primary practice located at 535 E 70Th St Division Of Mri, New York NY 10021-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Herzog, Richard J can be contacted via phone (212) 774-2251.Contact Information
Primary practice address
535 E 70Th St Division Of Mri
New York NY 10021-4872
Phone: (212) 774-2251
Fax: (212) 734-7378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 206121 | New York |
Profile Details
| NPI number | 1548263338 |
|---|---|
| LBN Legal business name | Herzog, Richard J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Apr 8th, 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 | 1548263338 | NPPES |
| New York | MEDICAID | 02084600 | |
| New York | MEDICAID | 00637403 |
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