Provider Demographics
NPI:1033115860
Name:HERLING, STEVEN (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:HERLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:LLOYD HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11743-1039
Mailing Address - Country:US
Mailing Address - Phone:631-678-7521
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE # TH530
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-263-5833
Practice Address - Fax:212-263-7254
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2019-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205930207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01760512Medicaid
NY01760512Medicaid
NY0421RVMedicare ID - Type UnspecifiedGHI MEDICARE
NY27X142Medicare ID - Type UnspecifiedEMPIRE MEDICARE