Douglas Bennet Herzlich DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003749-1 Issued in NY

Legal business name

DOUGLAS BENNET HERZLICH DPM PC

Practice address

1120 Morris Park Ave
Bronx, NY 10461-1400

Phone

(718) 409-1777

NPI assigned

Jan 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Herzlich

Title

Sole Proprieter

Phone

(212) 564-1544

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962553230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 43RD ST",
            "address_2": "APT 37M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611400",
            "telephone_number": "718-409-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS BENNET HERZLICH DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZLICH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "212-564-1544"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003749-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren Doueiry
• Sandria Dougall
• Caroline Dougherty
• Nancy Jean Dougherty, D.M.D.
• Serniqua Dougherty
• Alexandra Welch Douglas, MD-MPH
• Alina Douglas
• Andrew Walter Douglas, RPA-C
• Gaveral Douglas
• Gregory Landells Douglas, LCSW

• Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.