Individual
CAROLINE JANE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1728 SUNRISE HWY, MERRICK, NY 11566-3745
(516) 536-2800
Mailing address
166 W 12TH ST, DEER PARK, NY 11729-4924
(917) 251-8564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025473-01
NY
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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