Doctor Name: | KIMBERLY M HERRERA |
NPI Number: | 1174785620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 264026-1 |
Business Practice Address: | 6 Technology Drive Suite 200 East Setauket, NY - 117339254 |
Business Phone Number: | 6314444686 |
Business Fax Number: | 6314444622 |
Mailing Address: | Po Box 1554, STONY BROOK |
State: | NY |
Postal Code: | 117900988 |
Phone Number: | 6314440650 |
Fax Number: | 6316384170 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 264026-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |