Healthcare Provider Details

I. General information

NPI: 1174681282
Provider Name (Legal Business Name): HERBERT G BIRCH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W 29TH ST FL 3
NEW YORK NY
10001-5310
US

IV. Provider business mailing address

104 W 29TH ST FL 3
NEW YORK NY
10001-5310
US

V. Phone/Fax

Practice location:
  • Phone: 212-741-6522
  • Fax: 212-741-6739
Mailing address:
  • Phone: 212-741-6522
  • Fax: 212-741-6739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: MS. GERALDINE VOGEL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 212-741-6522