=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962469882
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HERBERT H SCHERZER MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/26/2006
-----------------------------------------------------
Last Update Date | 08/23/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 113 HOLLAND AVE PULMONARY MEDICINE (STRATTON VA MEDICAL CENTER)
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12208-3410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-626-5000
-----------------------------------------------------
Fax | 518-626-4646
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22 PASTURE GATE LN
-----------------------------------------------------
City | DELMAR
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12054-4328
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-618-8886
-----------------------------------------------------
Fax | 518-626-4646
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | 016190
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | 116355
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------