Herzog, Thomas Harry

Herzog, Thomas Harry is an individual health care provider with primary practice located at 3 Lyon Place , Ogdensburg NY 13669. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Herzog, Thomas Harry can be contacted via phone (315) 713-6643.

Contact Information

Primary practice address
3 Lyon Place Ogdensburg NY 13669
Phone: (315) 713-6643
Fax: (866) 506-5573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME46735 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 255987 New York

Profile Details

NPI number 1760435952
LBN Legal business name Herzog, Thomas Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 20th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760435952 NPPES
New York MEDICAID 03117948
New York MEDICAID 041980000
New York MEDICAID 03193937

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