Provider Demographics
NPI:1881292050
Name:HIRSCHHORN, ANDREW (NP)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HIRSCHHORN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7018
Mailing Address - Country:US
Mailing Address - Phone:914-723-3590
Mailing Address - Fax:
Practice Address - Street 1:1 PARK AVE FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5818
Practice Address - Country:US
Practice Address - Phone:212-263-5020
Practice Address - Fax:646-754-9639
Is Sole Proprietor?:No
Enumeration Date:2020-10-11
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF309804-01363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care