Healthcare Provider Details

I. General information

NPI: 1093403966
Provider Name (Legal Business Name): SARA KATZ DDS AND DIEGO HERRERA DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 GRIFFIN AVE
BEDFORD HILLS NY
10507-1810
US

IV. Provider business mailing address

64 GRIFFIN AVE
BEDFORD HILLS NY
10507-1810
US

V. Phone/Fax

Practice location:
  • Phone: 914-241-9205
  • Fax:
Mailing address:
  • Phone: 914-815-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DIEGO HERRERA
Title or Position: OWNER
Credential: DDS
Phone: 914-815-4544