Individual
BRIAN HERSCHENHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
22 HERON PL, REXFORD, NY 12148-1380
(518) 810-9980
Mailing address
22 HERON PL, REXFORD, NY 12148-1380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049643
NY
183500000X
Pharmacist
PR5031
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933926
—
NY
Enumeration date
11/16/2007
Last updated
02/14/2012
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