Organization
JOHN C. HERZOG, DO, PLLC
Active
Parent organization
JOHN C. HERZOG, DO, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN C. HERZOG, DO, PLLC
Authorized official
LAUREN FIELDS (PRACTICE MANAGER)
(518) 587-7746
Entity
Organization
Contact information
Practice address
31 MYRTLE ST, SARATOGA SPRINGS, NY 12866-1036
(518) 587-7746
(518) 306-6502
Mailing address
PO BOX 819, SARATOGA SPRINGS, NY 12866-0819
(518) 587-7746
(518) 306-6502
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
214382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255377438
—
NY
Enumeration date
02/13/2018
Last updated
02/13/2018
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