IndividualActive
Carl Herndon, MD
NPI 1619321809 · Adult Reconstructive Orthopaedic Surgery Physician · New York, NY
Provider details
- NPI number
- 1619321809
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021-01325 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
622 W 168th St Ph 11-1120
New York, NY 10032-3720
Phone: (212) 305-5976
Approximate (ZIP-level) locationGet directions
Mailing address
622 W 168th St Ph 11-1120
New York, NY 10032-3720
Registry dates
- Enumerated
- 2016-04-14
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.