Herrera Paz, Edmundo Horacio
Herrera Paz, Edmundo Horacio is an sole proprietor health care provider with primary practice located at 408 West 57Th Street Suite 1E, New York NY 10019-3018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Herrera Paz, Edmundo Horacio can be contacted via phone (212) 765-3261.Contact Information
Primary practice address
408 West 57Th Street Suite 1E
New York NY 10019-3018
Phone: (212) 765-3261
Fax: (212) 765-3261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD145740 | New York |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD145740 | New York |
Profile Details
| NPI number | 1316131352 |
|---|---|
| LBN Legal business name | Herrera Paz, Edmundo Horacio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2007 |
| Last updated | Sep 4th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316131352 | NPPES |
| New York | MEDICAID | 00700289 |
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