| Doctor Name: | MARC ALLEN HERBERT |
| NPI Number: | 1063655298 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | 604642 |
| Business Practice Address: | 385 Davies Ave Apartment 4 West Henrietta, NY - 145868829 |
| Business Phone Number: | 5853545201 |
| Business Fax Number: | |
| Mailing Address: | 385 Davies Ave, Apartment 4 WEST HENRIETTA |
| State: | NY |
| Postal Code: | 145868829 |
| Phone Number: | 5853545201 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2009 |
| NPI Last Update Date: | 04/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 604642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |