Individual
ANDREA LEE HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
905 LAKE ST, ANGOLA, NY 14006
(716) 998-6980
Mailing address
905 LAKE ST, ANGOLA, NY 14006-9281
(716) 549-1999
(716) 549-1990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012238-1
NY
Other
Enumeration date
09/18/2012
Last updated
05/11/2020
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