Provider Demographics
NPI:1821242207
Name:PFEFFER, HERBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:
Last Name:PFEFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HERBERT
Other - Middle Name:
Other - Last Name:PFEFFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14 CLUB WAY
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3615
Mailing Address - Country:US
Mailing Address - Phone:914-725-1572
Mailing Address - Fax:
Practice Address - Street 1:14 CLUB WAY
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3615
Practice Address - Country:US
Practice Address - Phone:914-725-1572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100157208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery