Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 092575-1 | NY |
NPI | 1063547578 |
---|---|
Provider Name | Dr. Seymour Nathan Herschberg |
First Address | New York, NY 10023-4819 |
Second Address | New York, NY 10023-4819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/07/2007 |