Provider Demographics
NPI:1063415420
Name:HIRSHFIELD, GARY STUART (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:STUART
Last Name:HIRSHFIELD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:17660 UNION TPKE
Mailing Address - Street 2:STE 110
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1526
Mailing Address - Country:US
Mailing Address - Phone:718-460-1200
Mailing Address - Fax:718-461-2135
Practice Address - Street 1:17660 UNION TPKE
Practice Address - Street 2:STE 110
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1526
Practice Address - Country:US
Practice Address - Phone:718-460-1200
Practice Address - Fax:718-461-2135
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2020-08-10
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Provider Licenses
StateLicense IDTaxonomies
NY170510207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01172898Medicaid
NY01172898Medicaid
NYE41143Medicare UPIN