Organization
LEROY HERBERT, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY HERBERT MD (PRESIDENT)
(917) 862-5215
Entity
Organization
Contact information
Practice address
2615 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10030-1705
(212) 281-8200
(718) 347-4643
Mailing address
35 TULIP AVENUE, PO BOX 20838, FLORAL PARK, NY 11002-0838
(917) 862-5215
(718) 347-4643
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
186982-1
NY
Other
Enumeration date
08/05/2007
Last updated
11/16/2010
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