Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 044986 | CT |
N | 207RP1001X | Pulmonary Disease | 044986 | CT |
NPI | 1083766877 |
---|---|
Provider Name | Dr. Pablo Herscovici |
First Address | New York, NY 10280-1137 |
Second Address | New York, NY 10010-5011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 06/10/2010 |