Provider Demographics
NPI:1598884686
Name:HERMAN, DAVID STEVEN (LCAT, MA, MT-BC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:STEVEN
Last Name:HERMAN
Suffix:
Gender:M
Credentials:LCAT, MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 E 83RD ST
Mailing Address - Street 2:APT 11E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2408
Mailing Address - Country:US
Mailing Address - Phone:212-744-8680
Mailing Address - Fax:
Practice Address - Street 1:135 E 83RD ST
Practice Address - Street 2:APT 11E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2408
Practice Address - Country:US
Practice Address - Phone:212-744-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY540174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000540-1OtherLICENSED CREATIVE ARTS THERAPIST