Individual
ELIZABETH M HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RPA-C
Contact information
Practice address
177 FORT WASHINGTON AVE, PACS 8 SOUTH KNUCKLE, RM 8-004, NEW YORK, NY 10032-3733
(212) 305-7055
Mailing address
177 FORT WASHINGTON AVE, PACS 8 SOUTH KNUCKLE, RM 8-004, NEW YORK, NY 10032-3733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014432
NY
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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