Individual
DR. HERBERT I. PASTERNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
187 VETERANS BLVD, MASSAPEQUA, NY 11758-4982
(516) 795-5523
(516) 795-5521
Mailing address
854 BRIAR PL, WOODMERE, NY 11598-2420
(516) 569-8487
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
151369-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00870975
—
NY
01
—
13B76
BCBS PROVIDER NUMBER
NY
01
—
4931290006
CIGNA HMO
NY
01
—
98313
AETNA PROVIDER NUMBER
NY
01
—
QU50296A
MDNY PROVIDER NUMBER
NY
Enumeration date
09/22/2005
Last updated
07/09/2007
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