Provider Demographics
NPI:1023550647
Name:HERMAN, ADELE N (LMT)
Entity Type:Individual
Prefix:
First Name:ADELE
Middle Name:N
Last Name:HERMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ADELE
Other - Middle Name:N
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:43 HUDSON POINT LN
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5942
Mailing Address - Country:US
Mailing Address - Phone:914-450-0894
Mailing Address - Fax:
Practice Address - Street 1:43 HUDSON POINT LN
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-5942
Practice Address - Country:US
Practice Address - Phone:914-450-0894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002793225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist