Individual
DR. BRIAN JACOB HERSCHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E 65TH ST, NEW YORK, NY 10021-7013
(212) 772-8699
(212) 288-7020
Mailing address
30 E 65TH ST, NEW YORK, NY 10065-7013
(212) 772-8699
(212) 288-7020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
150887-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00857603
—
NY
Enumeration date
10/21/2005
Last updated
12/05/2011
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