Organization · Type 2 NPI
Luis O Herrera
Primary Care Clinic/Center · Freeport, NY
NPI number
1104167295
Active
Practice location
43 Church St
Freeport, NY 11520-3830
Fax (516) 223-7320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 196850 (NY) |
| Primary Care Clinic/Center | 261QP2300X | 244911 (NY) |
| Primary Care Clinic/Center | 261QP2300X | 262675 (NY) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
Other primary care clinic/center providers in Freeport
About NPI 1104167295
Luis O Herrera's National Provider Identifier is 1104167295, issued on Mar 14, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Freeport, NY. The record was last updated on Mar 14, 2013.