Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 029583 | NY |
NPI | 1023262631 |
---|---|
Provider Name | Donna Karen Hirsch |
First Address | New York, NY 10028-4337 |
Second Address | New York, NY 10028-4337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 10/11/2008 |