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Individual

DR. MARK J HERSHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
51 BEDFORD RD, SUITE 5, KATONAH, NY 10536-2135
(914) 232-1730
Mailing address
51 BEDFORD RD, SUITE 5, KATONAH, NY 10536-2135
(914) 232-1730

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8937
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01213038
NY
01
135825
VALUE OPTIONS PROVIDER #
01
65684
CIGNA BEHAVIORAL HEALTH
Enumeration date
01/28/2007
Last updated
07/08/2007
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