Hertzel K Sure MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

224296 Issued in NY

Legal business name

HERTZEL K SURE MD LLC

Practice address

9425 60TH Ave
Unit B4
Elmhurst, NY 11373-5069

Phone

(718) 760-0797

Fax

(718) 760-5552

NPI assigned

Jul 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hertzel K Sure, MD

Title

Doctor

Phone

(718) 760-0797

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1134319635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 60TH AVE",
            "address_2": "UNIT B4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735069",
            "telephone_number": "718-760-0797",
            "fax_number": "718-760-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 60TH AVE",
            "address_2": "UNIT B4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735069",
            "telephone_number": "718-760-0797",
            "fax_number": "718-760-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERTZEL K SURE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "SURE",
        "authorized_official_first_name": "HERTZEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-760-0797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derly M Heredia, P.A.
• Kevin Heringman, MD
• Julissa Mary Hernandez, LCSW
• Patricia Hernandez, LCSW
• Monica Isabel Herrera, LCSW
• Lynne Iola Hewitt-Volpe, PT
• Zachary Lee Hickman, M.D.
• Librada Hidalgo, RPH
• Hights Optical Inc
• Rowland Hill, LCSW

• Internal Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.