MEDICARE: DR. DOUGLAS ROSS BIRNS M.D.

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	208800000X	Urology Physician	153003	NY

General Provider Information

NPI Number	:	1134158488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS ROSS BIRNS M.D.

Provider Business Mailing Address
First Line	:	12 E 86TH ST OFC 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-0517
Country	:	US
Telephone Number	:	212-744-8700
Fax Number	:	212-249-2421

Provider Business Practice Location Address
First Line	:	12 E 86TH ST OFC 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-0517
Country	:	US
Telephone Number	:	212-744-8700
Fax Number	:	212-249-2421

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	05/20/2026

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