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General NPI Number Information
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NPI Number | 1699937722
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Entity Type | Individual
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Provider Name | JONATHAN S KIRSCHNER MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4823
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Country | US
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Telephone | 646-714-6327
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Fax | 646-714-6379
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Provider Business Mailing Address
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Address Line | PO BOX 29234
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City | NEW YORK
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State | NY
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Zip | 10087-9234
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Country | US
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Telephone | 646-714-6327
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Fax | 646-714-6379
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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 | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number | 257100
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 257100
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 257100
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 257100
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License Number State | NY
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