Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Patrick Hertica

Individual provider Peer Specialist · NPI 1275240095

Charles Patrick Hertica is a Peer Specialist in Kingston, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

368 Broadway Ste 204
Kingston, NY 12401-5159
Phone: (845) 481-4728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1275240095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address305 Hurley Ave Apt 7f, Kingston, NY 12401-6838

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