Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 044188 | CT |
N | 207ND0101X | MOHS-Micrographic Surgeon | NY208616 | NY |
NPI | 1437198702 |
---|---|
Provider Name | Dr. Andrew M Herbst |
First Address | New York, NY 10028-5813 |
Second Address | Norwalk, CT 06851-4811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H34298 | (02) | NY |