Herschorn, Brian Jacob
Herschorn, Brian Jacob is an sole proprietor health care provider with primary practice located at 30 E 65Th St , New York NY 10021-7013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Herschorn, Brian Jacob can be contacted via phone (212) 772-8699.Contact Information
Primary practice address
30 E 65Th St
New York NY 10021-7013
Phone: (212) 772-8699
Fax: (212) 288-7020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 150887-1 | New York |
Profile Details
| NPI number | 1578552550 |
|---|---|
| LBN Legal business name | Herschorn, Brian Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Dec 5th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578552550 | NPPES |
| New York | MEDICAID | 00857603 |
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