Provider Demographics
NPI:1720689342
Name:HIRSCHLER, TAMARA
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:
Last Name:HIRSCHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 BEACH 9TH ST APT 8B
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5628
Mailing Address - Country:US
Mailing Address - Phone:516-305-7720
Mailing Address - Fax:
Practice Address - Street 1:146 BEACH 9TH ST APT 8B
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5628
Practice Address - Country:US
Practice Address - Phone:516-305-7720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist