| Organization Name: | YASHODHARA KIRTANE M.D.PLLC |
| NPI Number: | 1417902248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YASHODHARA KIRTANE (OWNER) |
| Mailing Address: | 114-12 Beach Channel Dr Suite #7 Rockaway Park |
| State: | NY US |
| Postal Code: | 115591514 |
| Phone Number: | 7183186021 |
| Fax Number: | 7183184802 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 09/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0201X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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. |