Provider Demographics
NPI:1528251444
Name:STEPHEN E. HIRSCHBERG MD AND GADDY A. HAYMOV MD PC
Entity type:Organization
Organization Name:STEPHEN E. HIRSCHBERG MD AND GADDY A. HAYMOV MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:HIRSCHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-776-6483
Mailing Address - Street 1:803 MCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3847
Mailing Address - Country:US
Mailing Address - Phone:914-776-6483
Mailing Address - Fax:914-776-0855
Practice Address - Street 1:803 MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3847
Practice Address - Country:US
Practice Address - Phone:914-776-6483
Practice Address - Fax:914-776-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty