Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 144645 | NY |
NPI | 1154328904 |
---|---|
Provider Name | Ronald L Kirshner |
First Address | Rochester, NY 14621-3038 |
Second Address | Rochester, NY 14621-3038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 20/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0901886 | (05) | NY |
B71999 | (02) | NY |