Provider Demographics
NPI:1588676431
Name:HERSHKOWITZ, DAVID STUART (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:STUART
Last Name:HERSHKOWITZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 RANGE DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3234
Mailing Address - Country:US
Mailing Address - Phone:516-456-5418
Mailing Address - Fax:718-465-7576
Practice Address - Street 1:22424 UNION TPKE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3650
Practice Address - Country:US
Practice Address - Phone:718-468-3434
Practice Address - Fax:718-465-7576
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice