Healthcare Provider Details

I. General information

NPI: 1992783187
Provider Name (Legal Business Name): KIRSCHENBAUM ORTHOPAEDICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 WESTCHESTER AVE SUITE 205
WHITE PLAINS NY
10604-2907
US

IV. Provider business mailing address

244 WESTCHESTER AVE SUITE 205
WHITE PLAINS NY
10604-2907
US

V. Phone/Fax

Practice location:
  • Phone: 914-328-5111
  • Fax: 914-328-5211
Mailing address:
  • Phone: 914-328-5111
  • Fax: 914-328-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. IRA H. KIRSCHENBAUM
Title or Position: ORTHOPAEDIC SURGEON
Credential: M.D.
Phone: 914-328-5111