MEDICARE: DAVID J HERSH M.D.

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	207RC0000X	Cardiovascular Disease Physician	236218	NY

General Provider Information

NPI Number	:	1588854921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J HERSH M.D.

Provider Business Mailing Address
First Line	:	949 CENTRAL AVE STE 207
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1204
Country	:	US
Telephone Number	:	516-218-2510
Fax Number	:	877-654-8328

Provider Business Practice Location Address
First Line	:	949 CENTRAL AVE STE 207
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1204
Country	:	US
Telephone Number	:	516-218-2510
Fax Number	:	877-654-8328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	07/09/2013

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