Individual
LANIE V HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
66-55 FRESH POND RD, RIDGEWOOD, NY 11385
(718) 497-1919
(718) 386-2152
Mailing address
1 KINGS HIGHWAY, HAUPPAUGE, NY 11788
(631) 342-1546
(631) 348-0273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3351251
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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