Provider Demographics
NPI:1679580369
Name:HERZLINGER, CAROL RUTH (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:RUTH
Last Name:HERZLINGER
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:30-60 STEINWAY STREET
Mailing Address - Street 2:DR CAROL R HERZLINGER DDS
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3854
Mailing Address - Country:US
Mailing Address - Phone:718-278-2141
Mailing Address - Fax:718-278-2141
Practice Address - Street 1:30-60 STEINWAY STREET
Practice Address - Street 2:DR CAROL R HERZLINGER DDS
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11103-3854
Practice Address - Country:US
Practice Address - Phone:718-278-2141
Practice Address - Fax:718-278-2141
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYDDS0304161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice