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Contact Information

ROBERT HERZOG JR, DDS
651 DELAWARE AVE
ALBANY, NY12209
 Phone: 578-427-2447
 Fax: 578-427-7346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ROBERT HERZOG JR · (Male)

NPI # 1063595049
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0464251
  • NY Other 000460352001 BLUE SHIELD
  • NY Other 10058818 CDPHP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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