Organization
ABRAHAM J. HERZBERG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM J. HERZBERG (OWNER)
(516) 561-1617
Entity
Organization
Contact information
Practice address
300 FRANKLIN AVE, VALLEY STREAM, NY 11580-2107
(516) 561-1617
Mailing address
300 FRANKLIN AVE, VALLEY STREAM, NY 11580-2107
(516) 561-1617
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00579722
—
NY
Enumeration date
02/29/2008
Last updated
05/29/2013
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