Individual
KENNETH HERSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 NEW HYDE PARK RD, 201, NEW HYDE PARK, NY 11042-1214
(516) 327-0850
(516) 327-0920
Mailing address
3003 NEW HYDE PARK RD, 201, NEW HYDE PARK, NY 11042-1214
(516) 327-0850
(516) 327-0920
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
084163-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01013264NY01
ANTHEM
—
01
—
110005090
RAILROAD MEDICARE
—
01
—
2503329
GHI
NY
01
—
2503329
COMBINED WELFARE FUND
—
01
—
31269V
VYTRA
—
01
—
5511594
CIGNA
NY
01
—
77A041
BLUE CROSS BLUE SHIELD
NY
01
—
880059
AETNA
—
01
—
N24263
GUARDIAN PHCS
—
Enumeration date
03/24/2006
Last updated
02/08/2017
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