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Individual

DR. PETER J HIRSCHHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
15 E 208TH ST, BRONX, NY 10467-2727
(718) 652-2099
(718) 519-1140
Mailing address
PO BOX 273, JERICHO, NY 11753-0273
(718) 652-2099
(718) 519-1140

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
003341
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00659090
NY
01
P00292966
RAILROAD MEDICARE
GA
Enumeration date
12/08/2005
Last updated
04/26/2011
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