Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 222712 | NY |
N | 2081S0010X | Sports Medicine | 222712 | NY |
N | 213ES0000X | Sports Medicine | 222712 | NY |
N | 225400000X | Rehabilitation Practitioner | 222712-1 | NY |
NPI | 1457397606 |
---|---|
Provider Name | Dr. Joseph E Herrera |
First Address | New York, NY 10029 |
Second Address | New York, NY 10029 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 13/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02677067 | (05) | NY |
I36657 | (02) | NY |