Luis O Herrera
Organization Active NPI Primary Care Clinic/Center · Freeport, NY
NPI 1104167295 · NPPES record last updated Mar 14, 2013
Key facts
- NPI
- 1104167295
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 196850 (NY)
- Legal business name
- LUIS O HERRERA
- Practice address
- 43 Church St
Freeport, NY 11520-3830 - Phone
- (516) 223-2900
- Fax
- (516) 223-7320
- NPI assigned
- Mar 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Luis O Herrera
- Title
- MD
- Phone
- (516) 223-2900
Practitioners 3
-
Zomeily D Almonte Torres, FNP-C
-
Sylvia Mamani, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0975497 | Luis O Herrera MD Faap | Certificate of waiver | Jul 9, 2026 |
National Provider Directory
Locations
43 Church St
Freeport, NY 11520
Phone (516) 223-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 196850 | NY | Yes |
| Primary Care Clinic/Center | 261QP2300X | 244911 | NY | |
| Primary Care Clinic/Center | 261QP2300X | 262675 | NY |
Addresses
Primary practice location
43 Church St
Freeport, NY 11520-3830
Mailing address
43 Church St
Freeport, NY 11520-3830
Phone (516) 223-2900
Other providers in Freeport, NY
- Louis Swartz MD PC
- Michelle Louis
- Stephanie Francine-Alecia Lovergine
- Joshua Lozano
- Churk H Lui
- Corey Lee Luksch
- Christopher G. Lutz
- Jaden Anthony Lyons
- Akiya Shant'E Mack
- Chukwuma Madu
All providers in Freeport, NY · Primary Care Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.