Herman, Craig Preston

Herman, Craig Preston is an individual health care provider with primary practice located at 975 Westchester Ave , Bronx NY 10459-3204. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Herman, Craig Preston can be contacted via phone (718) 320-4466.

Contact Information

Primary practice address
975 Westchester Ave Bronx NY 10459-3204
Phone: (718) 320-4466
Fax: (718) 991-3829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005627 New York

Profile Details

NPI number 1124098686
LBN Legal business name Herman, Craig Preston
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124098686 NPPES
New York MEDICAID 00695941
New York MEDICAID 02010240

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