Provider Demographics
NPI:1740586064
Name:FIERMAN, HENRY M
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:M
Last Name:FIERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HENRY
Other - Middle Name:M
Other - Last Name:FIERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:VMD
Mailing Address - Street 1:444 E 82ND ST
Mailing Address - Street 2:APT 30A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-5903
Mailing Address - Country:US
Mailing Address - Phone:212-744-2083
Mailing Address - Fax:212-737-8551
Practice Address - Street 1:444 E 82ND ST
Practice Address - Street 2:APT 30A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-5903
Practice Address - Country:US
Practice Address - Phone:212-744-2083
Practice Address - Fax:212-737-8551
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003485174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian