Ethan Samuel Herman
Social Worker in Rego Park, NY. Individual provider (NPI-1).
NPI number1194606244
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1194606244
- Entity type
- Individual (NPI-1)
- Name
- Ethan Samuel Herman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2025
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 131869 | NY | Yes |
Practice location
97-77 Queens Blvd PhRego Park, NY 11374
Phone 718-896-9090
Mailing address
97-77 Queens Boulevard PhRego Park, NY 11374
Phone 718-896-9090
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All 94 Social Worker providers in Rego Park · All 1,980 providers in Rego Park
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