Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 162874 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 162874 | NY |
NPI | 1396723482 |
---|---|
Provider Name | Dr. Ira H Kirschenbaum |
First Address | Bronx, NY 10457-7606 |
Second Address | Bronx, NY 10457-7606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 02/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01281070 | (05) | NY |
1628741 | WORKERS COMPENSATION (01) | NY |
200037532 | RAILROAD MEDICARE (01) | NY |
3290884 | AETNA HMO (01) | NY |
4409829 | AETNA PPO (01) | NY |
500112 | GHI (01) | NY |
6C1800 | PHS (01) | NY |
8681413 | CIGNA (01) | NY |
87G893 | BLUE CROSS/BLUE SHIELD (01) | NY |
885288 | UNITED HEALTHCARE (01) | NY |
E86361 | (02) | NY |
WS1299 | OXFORD (01) | NY |