Provider Demographics
NPI:1881301737
Name:HIRSCHEY, ALIZA
Entity type:Individual
Prefix:
First Name:ALIZA
Middle Name:
Last Name:HIRSCHEY
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 1:53 IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3336
Mailing Address - Country:US
Mailing Address - Phone:862-591-8966
Mailing Address - Fax:
Practice Address - Street 1:53 IDAHO ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3336
Practice Address - Country:US
Practice Address - Phone:862-591-8966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist