Provider Demographics
NPI:1760684336
Name:HIRSCHFELD, MADELINE MASS (PHD)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:MASS
Last Name:HIRSCHFELD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1911
Mailing Address - Country:US
Mailing Address - Phone:516-536-8555
Mailing Address - Fax:
Practice Address - Street 1:132 HARVARD AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-1911
Practice Address - Country:US
Practice Address - Phone:516-536-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7294103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist