Individual
CLYDE HERSHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
519 E 72ND ST, SUITE 103, NEW YORK, NY 10021-4028
(212) 288-1575
(212) 288-7616
Mailing address
519 E 72ND ST, SUITE 103, NEW YORK, NY 10021-4028
(212) 288-1575
(212) 288-7616
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
133123
NY
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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