Doctor Name: | DR. DAVID KIRSCHNER |
NPI Number: | 1003910498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 001116-2 |
Business Practice Address: | 44 Juneau Blvd Woodbury, NY - 117972610 |
Business Phone Number: | 5166926060 |
Business Fax Number: | 5166926060 |
Mailing Address: | 44 Juneau Blvd, WOODBURY |
State: | NY |
Postal Code: | 117972610 |
Phone Number: | 5166926060 |
Fax Number: | 5166926060 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 001116-2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |