Provider Demographics
NPI:1548424278
Name:HERTZ-SHARGEL, MICHAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAL
Middle Name:
Last Name:HERTZ-SHARGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 THE HEMLOCKS
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1804
Mailing Address - Country:US
Mailing Address - Phone:917-747-7520
Mailing Address - Fax:
Practice Address - Street 1:435 E 70TH ST APT 18F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5346
Practice Address - Country:US
Practice Address - Phone:917-747-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA949022085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology