Provider Demographics
NPI:1265675326
Name:HIRSCH, JAMIE STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:STEVEN
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COMMUNITY DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5501
Mailing Address - Country:US
Mailing Address - Phone:516-465-8200
Mailing Address - Fax:
Practice Address - Street 1:100 COMMUNITY DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5501
Practice Address - Country:US
Practice Address - Phone:516-465-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-19
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262401207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine