Provider Demographics
NPI:1033313366
Name:HERSH, ALISSA LOREN BENNETT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISSA
Middle Name:LOREN BENNETT
Last Name:HERSH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3850 HUDSON MANOR TER
Mailing Address - Street 2:APARTMENT 3BW
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1117
Mailing Address - Country:US
Mailing Address - Phone:718-543-7950
Mailing Address - Fax:
Practice Address - Street 1:3850 HUDSON MANOR TER
Practice Address - Street 2:APARTMENT 3BW
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1117
Practice Address - Country:US
Practice Address - Phone:718-543-7950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMAO79153207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology