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Individual

HERSCH ORNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14410 JEWEL AVE, FLUSHING, NY 11367-1733
(718) 268-4031
Mailing address
14410 JEWEL AVE, FLUSHING, NY 11367-1733
(718) 268-4031

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
175450
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
175450
MEDICAL LICENSE
NY
Enumeration date
11/13/2006
Last updated
07/08/2007
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