Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 216411 | NY |
NPI | 1063558013 |
---|---|
Provider Name | Dr. Kira Gelfenshteyn |
First Address | Fresh Meadows, NY 10041-0004 |
Second Address | Jamaica, NY 11432-4727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 12/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02660126 | (05) | NY |
I19272 | (02) | NY |