DR. Mark Alan Hertzberg, O.D.

NPI #1114134962 in Rosedale, New York

Provider Information

NPI Number: 1114134962
Entity Type: Individual
Name: DR. Mark Alan Hertzberg, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 17, 2007
Last Updated: May 17, 2011

Practice Location

Address: 25301 ROCKAWAY BLVD
City: Rosedale
State: New York
ZIP Code: 11422-3113
Phone: (516) 295-2135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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