Provider Demographics
NPI:1588854921
Name:HERSH, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:HERSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:949 CENTRAL AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1204
Mailing Address - Country:US
Mailing Address - Phone:516-218-2510
Mailing Address - Fax:877-654-8328
Practice Address - Street 1:949 CENTRAL AVE STE 207
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1204
Practice Address - Country:US
Practice Address - Phone:516-218-2510
Practice Address - Fax:877-654-8328
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2013-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY236218207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease