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Individual

DR. PATRICIA HERKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
410 LAKEVILLE RD, SUITE 202, NEW HYDE PARK, NY 11042-1101
(516) 216-1777
(516) 616-4642
Mailing address
410 LAKEVILLE RD, SUITE 202, NEW HYDE PARK, NY 11042-1101
(516) 216-1777
(516) 616-4642

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154921
NY
2080A0000X
Pediatric Adolescent Medicine Physician
154921
NY

Other

Enumeration date
09/20/2006
Last updated
02/09/2012
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