Individual
MRS. ALLISON HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAILEY LN, MANORVILLE, NY 11949-2637
(631) 433-9993
Mailing address
1 BAILEY LN, MANORVILLE, NY 11949-2637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
842616
NY
Other
Enumeration date
06/08/2017
Last updated
08/19/2025
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