DR. GARY HERZOG (NPI# 1518915941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518915941 |
| Entity Type | Individual |
| Full Name | DR. GARY HERZOG |
| Credential | DO |
| Practice Address |
52 Main Street Bedford Hills NY 10507 |
| Mailing Address |
52 Main St Bedford Hills NY 10507-1814 |
| Practice Telephone | 9146662220 |
| Practice Fax Number | 9146662987 |
| Mailing Telephone | 9146662220 |
| Mailing Fax Number | 9146662987 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
186427 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
40800 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
52 MAIN STREET |
| City | BEDFORD HILLS |
| State | NY |
| Zip Code | 10507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720218977 | Kim Garwood | Radiology Practitioner Assistant | 52 Main Street, Bedford Hills, NY 10507-1814 | 2009-07-22 |
| 1295759496 | Ernest Collyer Kelling | Radiology | 52 Main Street, Bedford Hills, NY 10507-1814 | 2006-07-27 |
| 1821013343 | Marilyn Wong | Radiology | 52 Main Street, Bedford Hills, NY 10507 | 2006-07-13 |
| 1629019005 | Spyros Alexander Harisiadis | Radiology | 52 Main Street, Bedford Hills, NY 10507 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364299 | Bushenhealing and Life Arts, LLC | Acupuncturist | 30 Winding Lane, Bedford Hills, NY 10507 | 2020-01-06 |
| 1942740923 | Jill Dworkin Bazos | Technician, Other | 573 Bedford Rd., 2nd Flr., Bedford Hills, NY 10507 | 2017-02-24 |
| 1497065866 | Divina Gracia Dinglasan Gaspar | Registered Nurse | 43 Rome Avenue, Apt 5a, Bedford Hills, NY 10507 | 2010-10-19 |
| 1457598567 | Care Point Services | Home Health | 182 Rt. 117 Bypass Rd, Bedford Hills, NY 10507 | 2009-01-12 |
| 1548415391 | Lisa C Bruno | Occupational Therapist | 182 Rt. 117 Bybass Rd, Bedford Hills, NY 10507 | 2008-11-20 |
| 1053523118 | Bedford Hills Pediatrics | Pediatrics | 701b North Bedford Road, Bedford Hills, NY 10507 | 2007-05-03 |
| 1336287267 | Sharon Marie Gladman | Licensed Practical Nurse | 208 Harris Road, Bedford Hills, NY 10507 | 2007-02-02 |
| 1033264965 | Nina Angela King | Registered Nurse | 208 Harris Rd, Bedford Hills, NY 10507 | 2007-01-23 |
| 1053412254 | Berton Klein Frank | Social Worker | 185 Adams St, Bedford Hills, NY 10507 | 2006-09-26 |
| 1306940077 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 715 Bedford Road, Bedford Hills, NY 10507 | 2006-09-12 |
| Find all providers in zip 10507 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117831 | Steven I Wengrover | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2005-10-07 |
| 1639410301 | Baruch Moshe Meer | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2013-03-06 |
| 1053448357 | Sarah A Kelly | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2007-02-27 |
| 1770676751 | Zarrin Salimi | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2006-10-02 |
| 1134234966 | Tamara Mohuchy | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2006-08-20 |
| 1326056995 | Steven Leffler | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2006-08-03 |
| 1184630113 | Emma Lugo | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2006-07-31 |
| 1295759496 | Ernest Collyer Kelling | Radiology | 52 Main Street, Bedford Hills, NY 10507-1814 | 2006-07-27 |
| 1821013343 | Marilyn Wong | Radiology | 52 Main Street, Bedford Hills, NY 10507 | 2006-07-13 |
| 1225066442 | Helaine Karp-harman | Radiology | 52 Main St, Bedford Hills, NY 10507-1814 | 2006-06-28 |
| Find all providers in BEDFORD HILLS | ||||
| City | BEDFORD HILLS |
| Zip Code | 10507 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.