Individual
DOUGLAS B HERZLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 MORRIS PARK AVE, BRONX, NY 10461-1400
(718) 409-1777
Mailing address
400 W 43RD ST, APT 37M, NEW YORK, NY 10036-6302
(212) 564-1544
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003749-1
NY
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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