Doctor Name: | MARC A HERTZ |
NPI Number: | 1083660971 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 143553 |
Business Practice Address: | Mount Kisco Medical Group, Pc 90 South Bedford Rd Mount Kisco, NY - 105493412 |
Business Phone Number: | 9142411050 |
Business Fax Number: | 9142421516 |
Mailing Address: | Mount Kisco Medical Group, Pc, 90 South Bedford Road MOUNT KISCO |
State: | NY |
Postal Code: | 105493412 |
Phone Number: | 9142411050 |
Fax Number: | 9142421516 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 11/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 143553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |