National Provider Identifier

Andrea Lee Herold, DC

Andrea Lee Herold, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Angola, NY and a listed phone number of (716) 998-6980.

NPI 1073863940Angola, NYChiropractor

Profile Overview

NPI
1073863940
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
September 18, 2012
Last Updated
May 11, 2020

Practice Location

  • 905 Lake St
  • Angola, NY 14006

Phone: (716) 998-6980

Mailing Address

  • 905 Lake St
  • Angola, NY 14006-9281

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1073863940
Entity Type
Individual
Last Name
Herold
First Name
Andrea
Middle Name
Lee
Credential
DC
Mailing Street Address
905 Lake St
Mailing City
Angola
Mailing State
NY
Mailing ZIP Code
14006-9281
Mailing Country
US
Mailing Phone
(716) 549-1999
Mailing Fax
(716) 549-1990
Practice Street Address
905 Lake St
Practice City
Angola
Practice State
NY
Practice ZIP Code
14006
Practice Country
US
Practice Phone
(716) 998-6980
Enumeration Date
September 18, 2012
Last Updated
May 11, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
May 11, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)