Individual
GILA HERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 427-6543
(631) 385-1220
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 427-6543
(631) 385-1220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011095
NY
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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