Individual
DR. GARY HERSKOVITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9412 4TH AVE, BROOKLYN, NY 11209
(718) 745-3456
Mailing address
9412 4TH AVE, BROOKLYN, NY 11209
(718) 745-3456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00671150
—
NY
Enumeration date
11/28/2006
Last updated
02/16/2015
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