Provider Demographics
NPI:1255483574
Name:HERSHFELD, ALVIN T (DO)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:T
Last Name:HERSHFELD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:15640 CROSSBAY BLVD
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2745
Mailing Address - Country:US
Mailing Address - Phone:718-529-4500
Mailing Address - Fax:718-529-4665
Practice Address - Street 1:15640 CROSSBAY BLVD
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2745
Practice Address - Country:US
Practice Address - Phone:718-529-4500
Practice Address - Fax:718-529-4665
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY112486207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE40194Medicare UPIN