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Individual

DR. MICHAEL HERSHIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
222 E MAIN ST, SUITE 210, SMITHTOWN, NY 11787-2871
(631) 361-9338
(631) 653-1440
Mailing address
222 E MAIN ST, SUITE 210, SMITHTOWN, NY 11787-2871
(631) 361-9338
(631) 653-1440

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008936
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01103433
NY
Enumeration date
10/10/2006
Last updated
07/08/2007
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