Individual
DR. EUGENE GEORGE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
77 N CENTRE AVE, STE 303, ROCKVILLE CENTRE, NY 11570-3923
(516) 766-3330
(516) 766-3563
Mailing address
77 N CENTRE AVE, STE 303, ROCKVILLE CENTRE, NY 11570-3923
(516) 766-3330
(516) 766-3563
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
032691-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00304765
—
NY
01
—
130740146
ADA
NY
Enumeration date
08/24/2006
Last updated
07/23/2012
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