Lisa J. Herzog in Albany - Pediatrics

Lisa J. Herzog - NPI 1669675047

Lisa J. Herzog is a Pediatrics in Albany, New York. Lisa J. Herzog practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa J. Herzog is 1669675047. The last update date is 2007-07-08.

Lisa J. Herzog's current location address is 22 Bosher Dr, Albany, New York. You can contact this provider via phone number 5184823280 and fax number 5184823280. The mailing address for Lisa J. Herzog is 22 Bosher Dr, Albany, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa J. Herzog
Address 22 Bosher Dr, Albany, New York
Phone Number 5184823280
Fax Number 5184823280
Sole Proprietor Y
Credentials P.T.

NPI Number Detail

NPI Number 1669675047
Provider Enumeration Date 2007-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22 Bosher Dr
City Albany
State New York (NY)
Post Code 122051702
Phone Number 5184823280
Fax Number 5184823280

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 146841
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Lisa J. Herzog

What is the Lisa J. Herzog's unique identification number?

The Lisa J. Herzog has been assigned the NPI (National Provider Identifier) Number 1669675047 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Lisa J. Herzog is located?

The Lisa J. Herzog is situated at the following address: 22 Bosher Dr, Albany, NY, 122051702.

What is Lisa J. Herzog's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lisa J. Herzog is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669675047 to Lisa J. Herzog?

The Lisa J. Herzog received its 1669675047 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.

When was the information related to Lisa J. Herzog most recently updated or refreshed?

The details pertaining to the Lisa J. Herzog, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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