Hershman, Jack I
Hershman, Jack I is an sole proprietor health care provider with primary practice located at 777 N Broadway Suite 309, Sleepy Hollow NY 10591-1000. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hershman, Jack I can be contacted via phone (914) 631-3331.Contact Information
Primary practice address
777 N Broadway Suite 309
Sleepy Hollow NY 10591-1000
Phone: (914) 631-3331
Fax: (914) 631-5838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 151313 | New York |
Profile Details
| NPI number | 1750333274 |
|---|---|
| LBN Legal business name | Hershman, Jack I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 13th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750333274 | NPPES |
| New York | MEDICAID | 963662 |
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