Individual
LUIS OSCAR HERRERA-ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43 CHURCH ST, FREEPORT, NY 11520-3830
(516) 223-2900
(516) 223-7320
Mailing address
857 CLIFFSIDE AVE, NORTH WOODMERE, NY 11581-3001
(516) 791-5919
(516) 223-7320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
196850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01513620046
—
NY
Enumeration date
11/04/2005
Last updated
02/24/2012
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