National Provider Identifier
Phyllis S Herendeen
Phyllis S Herendeen is listed in the NPPES registry with a primary specialty of Specialist in Clifton Springs, NY and a listed phone number of (315) 462-3588.
Profile Overview
- NPI
- 1699036616
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 06, 2012
- Last Updated
- July 21, 2022
Practice Location
- 440 Clifton Springs Professional Park
- Clifton Springs, NY 14432-1037
Phone: (315) 462-3588
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1699036616
- Entity Type
- Individual
- Last Name
- Herendeen
- First Name
- Phyllis
- Middle Name
- S
- Mailing Street Address
- 440 Clifton Springs Professional Park
- Mailing City
- Clifton Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14432-1037
- Mailing Country
- US
- Mailing Phone
- (315) 462-3588
- Mailing Fax
- (315) 462-6590
- Practice Street Address
- 440 Clifton Springs Professional Park
- Practice City
- Clifton Springs
- Practice State
- NY
- Practice ZIP Code
- 14432-1037
- Practice Country
- US
- Practice Phone
- (315) 462-3588
- Practice Fax
- (315) 462-6590
- Enumeration Date
- June 06, 2012
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)