Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 227808 | MA |
N | 208600000X | Surgeon | 227808 | MA |
Y | 208200000X | Surgeon | 250647 | NY |
Y | 208600000X | Surgeon | 250647 | NY |
N | 2086X0206X | Surgical Oncologist | 25MA08240300 | NJ |
NPI | 1285677922 |
---|---|
Provider Name | Dr. Laurie Jill Kirstein |
First Address | New York, NY 10065-6800 |
Second Address | New York, NY 10065-6800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 06/06/2016 |