Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 265785 | NY |
NPI | 1548498819 |
---|---|
Provider Name | Dr. Darren Hirsch |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Riverhead, NY 11901-2145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FH3336751 | DEA (01) | NY |
P01525327 | RAILROAD MEDICARE PIN (01) | NY |