Individual
DR. JULIAN HERSKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
755 PARK AVE, SUITE # 140, HUNTINGTON, NY 11743-3972
(631) 549-8867
(631) 423-8446
Mailing address
755 PARK AVE, SUITE # 140, HUNTINGTON, NY 11743-3972
(631) 549-8867
(631) 423-8446
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
006644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811263429
MEDICARE NPI
NY
01
—
A100066565
MEDICARE P-TAN
NY
Enumeration date
11/09/2006
Last updated
05/28/2013
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