Provider Demographics
NPI:1710920087
Name:MANHATTAN NEUROSURGICAL ASSOC, PC
Entity Type:Organization
Organization Name:MANHATTAN NEUROSURGICAL ASSOC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HIRSCHFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-234-0979
Mailing Address - Street 1:8413 13TH AVE
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3325
Mailing Address - Country:US
Mailing Address - Phone:718-234-0979
Mailing Address - Fax:718-234-2729
Practice Address - Street 1:8413 13TH AVE
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3325
Practice Address - Country:US
Practice Address - Phone:718-234-0979
Practice Address - Fax:718-234-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148613-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
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NY22A911Medicare PIN
NYB19166Medicare UPIN
NY3M2211Medicare PIN