Herskovits, Ronny
Herskovits, Ronny is an individual health care provider with primary practice located at 505 Grand Blvd , Deer Park NY 11729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Herskovits, Ronny can be contacted via phone (631) 243-1313.Contact Information
Primary practice address
505 Grand Blvd
Deer Park NY 11729
Phone: (631) 243-1313
Fax: (631) 243-0323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 1558571 | New York |
Profile Details
| NPI number | 1851463145 |
|---|---|
| LBN Legal business name | Herskovits, Ronny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1851463145 | NPPES |
| New York | MEDICAID | 00959095 |
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