Individual
TERRY HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRA, RPA
Contact information
Practice address
17 LANSING ST, AUBURN, NY 13021-1983
(312) 557-7018
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7011
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
25RRANY0614
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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