MEDICARE: DR. JORDAN HIRSCH 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	174400000X	Specialist	172513	NY
2	207V00000X	Obstetrics & Gynecology Physician	172513	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144219346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORDAN HIRSCH M.D.

Provider Business Mailing Address
First Line	:	73 MARKET ST
Second Line	:	SUITE 212 B
City	:	YONKERS
State	:	NY
Zip	:	10710-7602
Country	:	US
Telephone Number	:	914-831-6830
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 MARKET ST
Second Line	:	SUITE 212 B
City	:	YONKERS
State	:	NY
Zip	:	10710-7602
Country	:	US
Telephone Number	:	914-831-6830
Fax Number	:

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	03/04/2022

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