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NPI Code Detail

MEDICARE: DR. IRA H KIRSCHENBAUM M.D.

MEDICARE:  DR. IRA H KIRSCHENBAUM  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
1207X00000XOrthopaedic Surgery Physician162874NY
2207XS0114XAdult Reconstructive Orthopaedic Surgery Physician162874NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200037532OTHERNYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
23290884OTHERNYAETNA HMO
3500112OTHERNYGHI
46C1800OTHERNYPHS
5WS1299OTHERNYOXFORD
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7885288OTHERNYUNITED HEALTHCARE
88681413OTHERNYCIGNA
94409829OTHERNYAETNA PPO
1087G893OTHERNYBLUE CROSS/BLUE SHIELD
111628741OTHERNYWORKERS COMPENSATION

General Provider Information

NPI Number : 1396723482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRA H KIRSCHENBAUM M.D.
Provider Business Mailing Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7606
Country : US
Telephone Number : 718-518-5814
Fax Number : 718-579-3929
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7606
Country : US
Telephone Number : 718-518-5814
Fax Number : 718-579-2939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 03/02/2015

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