| Doctor Name: | EDMUNDO HORACIO HERRERA PAZ |
| NPI Number: | 1316131352 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD145740 |
| Business Practice Address: | 408 West 57th Street Suite 1e New York, NY - 100193018 |
| Business Phone Number: | 2127653261 |
| Business Fax Number: | 2127653261 |
| Mailing Address: | 42-55 Colden St, A8 2a FLUSHING |
| State: | NY |
| Postal Code: | 11355 |
| Phone Number: | 2127653261 |
| Fax Number: | 2127653261 |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 09/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD145740 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |