Provider Demographics
NPI:1992748271
Name:FOX, HERBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:A
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-674-8622
Mailing Address - Fax:212-353-8616
Practice Address - Street 1:1 5TH AVE
Practice Address - Street 2:APT 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4313
Practice Address - Country:US
Practice Address - Phone:212-674-8622
Practice Address - Fax:212-988-1043
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS1068902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00187802Medicaid
NY00187802Medicaid
B77870Medicare UPIN