Hertz, Marc Benjamin

Hertz, Marc Benjamin is an sole proprietor health care provider with primary practice located at 2026 Ocean Ave Suite 1K, Brooklyn NY 11230-7352. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hertz, Marc Benjamin can be contacted via phone (718) 998-9999.

Contact Information

Primary practice address
2026 Ocean Ave Suite 1K Brooklyn NY 11230-7352
Phone: (718) 998-9999
Fax: (718) 998-9999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 046617 New York

Profile Details

NPI number 1952383663
LBN Legal business name Hertz, Marc Benjamin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Nov 18th, 2008 - about 16 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 1952383663 NPPES
New York MEDICAID 02121520

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