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General NPI Number Information
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NPI Number | 1487150256
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Entity Type | Individual
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Provider Name | ANDREW WILLIAM KIRSNER MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 06/11/2023
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 332-215-2960
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Fax |
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Provider Business Mailing Address
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Address Line | 322 E 93RD ST APT 4A
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City | NEW YORK
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State | NY
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Zip | 10128-0356
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Country | US
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Telephone | 954-918-2644
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Fax | 561-955-3577
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 321054
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License Number State | NY
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