Individual
JONATHAN HERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8497
Mailing address
117 CLARK ST, GLEN RIDGE, NJ 07028-2217
(646) 241-5955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
239713
NY
Other
Enumeration date
01/19/2007
Last updated
05/09/2018
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