Individual
MR. KENNETH JAMES HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
505 E 70TH ST, HT 4, NEW YORK, NY 10021-4872
(212) 746-2942
(212) 746-8822
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(646) 797-8517
(212) 570-0648
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305825
NY
Other
Enumeration date
08/16/2011
Last updated
04/13/2021
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