Individual
EDMUND M HERROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10022
(212) 746-2108
(212) 746-8448
Mailing address
635 MADISON AVE, 3RD FLOOR, NEW YORK, NY 10022
(212) 249-2820
(212) 249-6856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
149191
NY
207R00000X
Internal Medicine Physician
Primary
149191-1
NY
207RC0000X
Cardiovascular Disease Physician
149191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00893196
—
NY
Enumeration date
10/09/2006
Last updated
01/29/2014
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