Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 18-000086 | NY |
N | 101YM0800X | Mental Health Counselor | MH8347 | FL |
N | 101YP2500X | Professional Counselor | 0701001436 | VA |
NPI | 1003879339 |
---|---|
Provider Name | Dr. Ronnie Michael Hirsh |
First Address | New York, NY 10011-8975 |
Second Address | New York, NY 10011-8975 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2006 |
Last Update Date | 12/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
112494977 | TAX ID (01) |