NPI 1003089715

Marc B. Hertz, DDS, PC

Organisation Oral and Maxillofacial Surgery Clinic/Center Brooklyn, NY

Practice location

Address: 2026 Ocean Ave Suite 1k, Brooklyn, NY 11230-7352
Phone: (718) 998-9999
Mailing address: 83 Washington Ave S, Lawrence, NY 11559-2402

Authorised official

Name: Marc Benjamin Hertz
Title: President
Phone: (718) 998-9999

Registered specialties

Oral and Maxillofacial Surgery Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS0112X Licence 046617 (NY)

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Registry record

NPI: 1003089715
Entity type: Organization
NPI issued: 2 Apr 2008
Record last updated: 2 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.