Provider Demographics
NPI:1902870413
Name:HIRSCH, HILDY (OD)
Entity Type:Individual
Prefix:
First Name:HILDY
Middle Name:
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SARINA DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1806
Mailing Address - Country:US
Mailing Address - Phone:631-462-9396
Mailing Address - Fax:
Practice Address - Street 1:213 GLEN COVE RD
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1225
Practice Address - Country:US
Practice Address - Phone:516-739-0777
Practice Address - Fax:516-742-2005
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004788152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist