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Organization

LUIS O HERRERA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS O HERRERA (MD)
(516) 223-2900
Entity
Organization

Contact information

Practice address
43 CHURCH ST, FREEPORT, NY 11520-3830
(516) 223-2900
(516) 223-7320
Mailing address
43 CHURCH ST, FREEPORT, NY 11520-3830
(516) 223-2900
(516) 223-7320

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
196850
NY
261QP2300X
Primary Care Clinic/Center
244911
NY
261QP2300X
Primary Care Clinic/Center
262675
NY

Other

Enumeration date
03/14/2013
Last updated
03/14/2013
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