| Stanley M Hertz Md Pc | |
|
55 Fern Dr Roslyn NY 11576-2201 | |
| (516) 484-6366 | |
| (516) 484-2864 |
| Full Name | Stanley M Hertz Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 55 Fern Dr, Roslyn, New York |
| Authorized Official Name and Position | Stanley M Hertz (PRESIDENT) |
| Authorized Official Contact | 5164846366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley M Hertz Md Pc 55 Fern Dr Roslyn NY 11576-2201 Ph: (516) 484-6366 | Stanley M Hertz Md Pc 55 Fern Dr Roslyn NY 11576-2201 Ph: (516) 484-6366 |
| NPI Number | 1326345786 |
|---|---|
| Provider Enumeration Date | 02/22/2011 |
| Last Update Date | 02/22/2011 |
| Medicare PECOS PAC ID | 8325220890 |
|---|---|
| Medicare Enrollment ID | O20110305000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326345786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 127407 (New York) | Primary |
| Provider Name | Stanley Melvin Hertz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821166158 PECOS PAC ID: 9234311705 Enrollment ID: I20110305000027 |
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