Provider Demographics
NPI:1568492882
Name:PACHTER, HERSCH LEON (MD)
Entity Type:Individual
Prefix:
First Name:HERSCH
Middle Name:LEON
Last Name:PACHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:HCC 6C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-7302
Mailing Address - Fax:212-263-7511
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:HCC 6C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7302
Practice Address - Fax:212-263-7511
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY113937208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY292031Medicare ID - Type Unspecified
C07925Medicare UPIN