Individual
MICHAEL HERSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 GRAND AVE, SHELTER ISLAND HEIGHTS, NY 11965-2000
(631) 749-0445
Mailing address
PO BOX 1046, SHELTER ISLAND HEIGHTS, NY 11965-1046
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
039591
NY
Other
Enumeration date
06/24/2022
Last updated
12/21/2022
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