Healthcare Provider Details

I. General information

NPI: 1669147013
Provider Name (Legal Business Name): JMH ANESTHESIOLOGY CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 08/09/2021
Certification Date: 08/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 OCEAN AVE
BROOKLYN NY
11229-1406
US

IV. Provider business mailing address

2136 OCEAN AVE
BROOKLYN NY
11229-1406
US

V. Phone/Fax

Practice location:
  • Phone: 718-376-5177
  • Fax:
Mailing address:
  • Phone: 718-376-5177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN MARTIN HIRSCH
Title or Position: CEO
Credential: MD
Phone: 718-376-5177