Provider Demographics
NPI:1497924849
Name:ROBERT HIRSCHBERG D.O. P.C.
Entity Type:Organization
Organization Name:ROBERT HIRSCHBERG D.O. P.C.
Other - Org Name:ISLAND INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-873-6269
Mailing Address - Street 1:520 FRANKLIN AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5801
Mailing Address - Country:US
Mailing Address - Phone:516-873-6269
Mailing Address - Fax:516-873-6306
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5801
Practice Address - Country:US
Practice Address - Phone:516-873-6269
Practice Address - Fax:516-873-6306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204288207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty