Individual
KELLY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ORANGE REGIONAL MEDICAL CENTER - HORTON CAMPUS, 60 PROSPECT ST, MIDDLETOWN, NY 10940
(845) 294-4339
(845) 294-4333
Mailing address
PO BOX 511, GOSHEN, NY 10924-0511
(845) 294-4339
(845) 294-4333
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
221985
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02371644
—
NY
Enumeration date
06/16/2006
Last updated
05/24/2011
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