Provider Demographics
NPI:1356847537
Name:HERVEY, BRITTANY LYNN (DPM)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LYNN
Last Name:HERVEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:285 SILLS RD BLDG 15D
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4801
Mailing Address - Country:US
Mailing Address - Phone:516-728-4644
Mailing Address - Fax:631-654-8250
Practice Address - Street 1:285 SILLS RD BLDG 15D
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4801
Practice Address - Country:US
Practice Address - Phone:631-654-5566
Practice Address - Fax:631-654-8250
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007181213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty