Physician Compare National (NPI:1669496592)

HEALTHCARE PROVIDER: DANIEL G HERBOWY DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669496592
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416945084
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080528000073
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERBOWY
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1500 N JAMES ST
	Group Practice or individual's line 1 address
City	ROME
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	134402844
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3157387772
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330215
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROME MEMORIAL HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	331316
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COMMUNITY MEMORIAL HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M