Provider Demographics
NPI:1740665934
Name:HIRSCHHORN, EVAN (AUD)
Entity type:Individual
Prefix:DR
First Name:EVAN
Middle Name:
Last Name:HIRSCHHORN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HOSPITAL OVAL WEST
Mailing Address - Street 2:SPEECH AND HEARING CENTER ROOM 430
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595
Mailing Address - Country:US
Mailing Address - Phone:914-493-1496
Mailing Address - Fax:
Practice Address - Street 1:20 HOSPITAL OVAL WEST
Practice Address - Street 2:SPEECH AND HEARING CENTER ROOM 430
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:901-449-3146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002610-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist