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Individual

KATHERINE HERDZIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
202 S CENTRAL AVE, MECHANICVILLE, NY 12118-3530
(518) 664-6125
(518) 664-2851
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
183321
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01204535
NY
Enumeration date
03/28/2006
Last updated
05/27/2021
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