Individual
DR. MARK ALAN HERTZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25301 ROCKAWAY BLVD, ROSEDALE, NY 11422-3113
(516) 295-2135
(516) 295-4561
Mailing address
PO BOX 461, LAWRENCE, NY 11559-0461
(718) 327-1536
(718) 327-1536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004131
NY
Other
Enumeration date
05/17/2007
Last updated
05/17/2011
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