Provider Demographics
NPI:1760606222
Name:HIRSCH, STUART M (DDS)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:M
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:898 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0234
Mailing Address - Country:US
Mailing Address - Phone:212-534-5000
Mailing Address - Fax:212-750-0663
Practice Address - Street 1:898 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0234
Practice Address - Country:US
Practice Address - Phone:212-534-5000
Practice Address - Fax:212-750-0663
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0291031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice