MEDICARE: JORGE NORBERTO KIRSCHTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	179323	NY

General Provider Information

NPI Number	:	1629177209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE NORBERTO KIRSCHTEIN MD

Provider Business Mailing Address
First Line	:	171 E 81ST ST APT 3A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-1873
Country	:	US
Telephone Number	:	212-628-2624
Fax Number	:

Provider Business Practice Location Address
First Line	:	3612 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2039
Country	:	US
Telephone Number	:	718-792-4178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/01/2015

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