Dr Mark Alan Hertzberg, OD is a
Optometrist based in Rosedale, New York. Dr Mark Alan Hertzberg is licensed to practice in New York (license number 004131) and his current practice location is
25301 Rockaway Blvd, Rosedale, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 295-2135.
NPI number for Dr Mark Alan Hertzberg is 1114134962 and his current mailing address is Po Box 461, Lawrence, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114134962.
Healthcare Provider's Profile
Full Name | Dr Mark Alan Hertzberg |
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Gender | Male |
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Speciality | Optometrist |
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Location | 25301 Rockaway Blvd, Rosedale, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114134962
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 05/17/2011
Medical Identifiers
Medical identifiers for Dr Mark Alan Hertzberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114134962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 004131 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Alan Hertzberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mark Alan Hertzberg, OD Po Box 461, Lawrence, NY 11559-0461 Ph: (718) 327-1536 | Dr Mark Alan Hertzberg, OD 25301 Rockaway Blvd, Rosedale, NY 11422-3113 Ph: (516) 295-2135 |
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