Individual
SUSAN HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
303 S BROADWAY, TARRYTOWN, NY 10591-5413
(914) 606-5022
Mailing address
303 S BROADWAY, TARRYTOWN, NY 10591-5413
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
3009781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009781
REGISTERED PROFESSIONAL NURSE
NY
Enumeration date
08/19/2011
Last updated
08/19/2011
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