=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174788228
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCISCO J HERRERA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2008
-----------------------------------------------------
Last Update Date | 11/02/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 506 SIXTH ST ANESTHESIOLOGY NY METHODIST HOSPITAL
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-780-3970
-----------------------------------------------------
Fax | 718-780-3281
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 506 SIXTH STREET DEPARTMENT OF ANESTHESIOLOGYNEW YORK METHODIST HOSPITAL
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11215
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-780-3970
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 286409
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------