Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 182102 | NY |
NPI | 1518027663 |
---|---|
Provider Name | Avner Hershlag |
First Address | Commack, NY 11725-5022 |
Second Address | Commack, NY 11725-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 27/07/2020 |