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NPI Code Detail

MEDICARE: ELIYAKIM HERSHKOP

MEDICARE:   ELIYAKIM  HERSHKOP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician325156NY

General Provider Information

NPI Number : 1134748940
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIYAKIM HERSHKOP
Provider Business Mailing Address
First Line : 1237 E 18TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5311
Country : US
Telephone Number : 215-733-9726
Fax Number :
Provider Business Practice Location Address
First Line : 4801 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219
Country : US
Telephone Number : 718-283-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2020
Last Update Date : 12/20/2023

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Directions to “ ELIYAKIM HERSHKOP ” Practice Location

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