LISA J. HERZOG


Address: 22 Bosher Dr, Albany, NY 12205-1702
Phone: 5184823280

LISA J. HERZOG (NPI# 1669675047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669675047
Entity Type Individual
Full Name LISA J. HERZOG
Credential P.T.
Practice Address 22 Bosher Dr
Albany
NY 12205-1702
Practice Telephone 5184823280
Practice Fax Number 5184823280
Mailing Telephone 5184823280
Mailing Fax Number 5184823280
Enumeration Date 2007-06-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
0146841 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 22 BOSHER DR
City ALBANY
State NY
Zip Code 12205-1702

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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447629050 Nancy Hellman Physical Therapist 26 Computer Dr E, Albany, NY 12205-1112 2015-09-24
1730589847 Athena Batsios Physical Therapist 1 Rapp Rd, Albany, NY 12203-4491 2014-08-26
1346487535 Antonia Margaret Aliberti Physical Therapist 1 Rapp Rd, Albany, NY 12203-4491 2009-01-09
1902935414 Mighty Oaks Children's Therapy Center Physical Therapist 3615 Spicer Dr Se, Albany, OR 97322-7043 2007-03-02

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1922575026 Hallie Rebecca Stock Physical Therapist 74 Stuyvesant Ave, Larchmont, NY 10538-2730 2018-10-26
1508331281 Jaya Rachwani Parshotam Physical Therapist 323 W 96th St Apt 509, New York, NY 10025-6279 2018-10-09
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1952884934 Jumping Feet Mgmt Corp. Physical Therapist 175 19th St Apt 501, Brooklyn, NY 11232-1026 2018-09-14
1467934000 Victoria Buchanan Physical Therapist 199 Thorncliff Rd, Buffalo, NY 14223-1241 2018-08-30
1841786324 Sunshine Rehab Pt PC Physical Therapist 19840 32nd Ave Apt B2, Flushing, NY 11358 2018-07-08
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Competitor

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City ALBANY
Zip Code 12205

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Dataset Information

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.

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