Individual
JOHN C HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
31 MYRTLE ST, SARATOGA SPRINGS, NY 12866-1036
(518) 587-0845
(518) 587-5068
Mailing address
PO BOX 819, SARATOGA SPRINGS, NY 12866-0819
(518) 587-0845
(518) 587-5068
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2143821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2657261
—
NY
Enumeration date
06/22/2006
Last updated
05/11/2022
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