Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 179994 | NY |
NPI | 1023123619 |
---|---|
Provider Name | Dr. Karyn Marlene Hirsch |
First Address | Rye, NY 10580-4130 |
Second Address | Mohegan Lake, NY 10547-2024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/07/2007 |