Provider Demographics
NPI:1447210687
Name:HERBSMAN, NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:HERBSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HERING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2006
Mailing Address - Country:US
Mailing Address - Phone:718-577-2079
Mailing Address - Fax:718-709-5582
Practice Address - Street 1:1600 HERING AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2006
Practice Address - Country:US
Practice Address - Phone:718-577-2079
Practice Address - Fax:718-709-5582
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2014-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182917207RG0100X
CT034421207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17N021Medicare ID - Type Unspecified
NYG22562Medicare UPIN