Individual
MR. IVAN GREG HERSTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
95 UNIVERSITY PL, 8TH FLOOR, NEW YORK, NY 10003-4515
(212) 366-1718
(212) 366-4830
Mailing address
95 UNIVERSITY PL, 8TH FLOOR, NEW YORK, NY 10003-4515
(212) 366-1718
(212) 366-4830
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2032
NJ
213E00000X
Podiatrist
Primary
N004237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01716334
—
NY
01
—
2C2183
PHS HEALTHNET
NY
01
—
NS816
OXFORD HEALTH PLAN
NY
01
—
P50031
BCBS
NY
Enumeration date
07/14/2006
Last updated
03/12/2015
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