Individual
SAMUEL HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5202 16TH AVE, BROOKLYN, NY 11204-1408
(718) 436-5900
Mailing address
5202 16TH AVE, BROOKLYN, NY 11204-1408
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
C003535-1
NY
Other
Enumeration date
09/09/2007
Last updated
09/09/2007
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