Physician Compare National (NPI:1821166158)

HEALTHCARE PROVIDER: STANLEY MELVIN HERTZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821166158
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234311705
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110305000027
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERTZ
	Individual professional last name
Provider First Name	STANLEY
	Individual professional first name
Provider Middle Name	MELVIN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	55 FERN DR
	Group Practice or individual's line 1 address
City	ROSLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	115762201
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y