Individual
DR. LAWRENCE GEORGE HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 E 14TH ST, SUITE F, NEW YORK, NY 10009-2700
(212) 228-5010
(212) 598-9699
Mailing address
409 E 14TH ST, SUITE F, NEW YORK, NY 10009-2700
(212) 228-5010
(212) 598-9699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
179763-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100187
GHI PROVIDER ID
NY
05
—
01268973
—
NY
01
—
179763-8S
WORKMERS COMPENSATION
NY
Enumeration date
04/11/2007
Last updated
04/30/2008
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