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NPI Code Detail

MEDICARE: RACHEL LEAH KIRSHENBAUM

MEDICARE: RACHEL LEAH KIRSHENBAUM
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
1207V00000XObstetrics & Gynecology Physician25MA12821500NJ
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1609370030
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LEAH KIRSHENBAUM
Provider Business Mailing Address
First Line : 100 E 77TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10075-1850
Country : US
Telephone Number : 312-636-2361
Fax Number :
Provider Business Practice Location Address
First Line : 100 E 77TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10075-1850
Country : US
Telephone Number : 212-434-2160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 04/16/2026

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Directions to “ RACHEL LEAH KIRSHENBAUM ” Practice Location

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