MEDICARE: DANIEL G HERBOWY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N002813	NY

General Provider Information

NPI Number	:	1912928870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL G HERBOWY

Provider Business Mailing Address
First Line	:	6 BUSINESS PARK CT
Second Line	:
City	:	UTICA
State	:	NY
Zip	:	13502-6308
Country	:	US
Telephone Number	:	315-793-3668
Fax Number	:	315-793-3691

Provider Business Practice Location Address
First Line	:	6 BUSINESS PARK CT
Second Line	:
City	:	UTICA
State	:	NY
Zip	:	13502-6308
Country	:	US
Telephone Number	:	315-793-3668
Fax Number	:	315-793-3691

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. DANIEL HERBOWY
Credential	:	DPM
Telephone Number	:	315-793-3691

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	05/20/2008

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