Provider Demographics
NPI:1346350436
Name:HERSHBERG, MURRAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:
Last Name:HERSHBERG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21-10 163 ST
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-4038
Mailing Address - Country:US
Mailing Address - Phone:718-352-7788
Mailing Address - Fax:
Practice Address - Street 1:21-10 163 ST
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-4038
Practice Address - Country:US
Practice Address - Phone:718-352-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20319122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist