Provider Demographics
NPI:1598712283
Name:HERSHBERGER, JASON E (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:E
Last Name:HERSHBERGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:28 BAY RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1925
Mailing Address - Country:US
Mailing Address - Phone:917-523-7213
Mailing Address - Fax:718-240-5986
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-6834
Practice Address - Fax:718-240-5986
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2018-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2244552084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry