Herskovits, Ronny

Herskovits, Ronny is an individual health care provider with primary practice located at 505 Grand Blvd , Deer Park NY 11729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Herskovits, Ronny can be contacted via phone (631) 243-1313.

Contact Information

Primary practice address
505 Grand Blvd Deer Park NY 11729
Fax: (631) 243-0323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1558571 New York

Profile Details

NPI number 1851463145
LBN Legal business name Herskovits, Ronny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851463145 NPPES
New York MEDICAID 00959095

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