Doctor Name: | YASHODHARA KIRTANE |
NPI Number: | 1275588022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 154995 |
Business Practice Address: | 114-12 Beach Channel Dr Rockaway Park, NY - 116941514 |
Business Phone Number: | 7183186021 |
Business Fax Number: | 7183184802 |
Mailing Address: | 114-12 Beach Channel Dr, ROCKAWAY PARK |
State: | NY |
Postal Code: | 116941514 |
Phone Number: | 7183186021 |
Fax Number: | 7183184802 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 03/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0201X |
License Number: | 154995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Allergy & Immunology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |