Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 175782 | NY |
Y | 111NI0900X | Internist | 175782 | NY |
N | 207RI0200X | Infectious Disease | 175782 | NY |
N | 207RI0200X | Infectious Disease | 175782-1 | NY |
NPI | 1073505723 |
---|---|
Provider Name | David Lawrence Herman |
First Address | Albany, NY 12209-1750 |
Second Address | Albany, NY 12209-1750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01197328 | (05) | NY |
E52495 | (02) | NY |