Individual
DR. DAVID M HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 RICHMOND AVE, STATEN ISLAND, NY 10314-3909
(718) 761-7212
(718) 351-1693
Mailing address
1855 RICHMOND AVE, STATEN ISLAND, NY 10314-3909
(718) 761-7212
(718) 351-1693
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
172295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01195353
—
NY
Enumeration date
04/14/2006
Last updated
06/27/2013
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