Provider Demographics
NPI:1538102504
Name:HERTZ, ZEEV (DPM)
Entity Type:Individual
Prefix:DR
First Name:ZEEV
Middle Name:
Last Name:HERTZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5002
Mailing Address - Country:US
Mailing Address - Phone:718-951-1620
Mailing Address - Fax:718-951-1628
Practice Address - Street 1:1911 AVENUE L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5002
Practice Address - Country:US
Practice Address - Phone:718-951-1620
Practice Address - Fax:718-951-1628
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004860213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01354609Medicaid
NY03085Medicare PIN
NY5181890001Medicare NSC
NY01354609Medicaid
NYP00160402Medicare PIN
NYP53912Medicare PIN