Provider Demographics
NPI:1790994226
Name:HERSCHKOPF, ISAAC STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:STEVEN
Last Name:HERSCHKOPF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 37TH ST
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3159
Mailing Address - Country:US
Mailing Address - Phone:212-697-5667
Mailing Address - Fax:
Practice Address - Street 1:201 E 37TH ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3159
Practice Address - Country:US
Practice Address - Phone:212-697-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1335252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry