MEDICARE: AZRIEL HIRSCHFELD MD PLLC

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
1	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1154936029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZRIEL HIRSCHFELD MD PLLC

Provider Business Mailing Address
First Line	:	705 CAFFREY AVE
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-5301
Country	:	US
Telephone Number	:	917-686-3953
Fax Number	:

Provider Business Practice Location Address
First Line	:	4303 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1678
Country	:	US
Telephone Number	:	917-686-3953
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AZRIEL HIRSCHFELD
Credential	:	MD
Telephone Number	:	917-686-3953

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	01/11/2021

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