Individual
MRS. ELLEN BETH HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 ALEXANDER AVENUE, STATEN ISLAND, NY 10312-1907
(917) 445-5483
Mailing address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 998-0200
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
236878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
9174455483
—
01
—
236878
RN LICENSE NUMBER
NY
Enumeration date
07/29/2017
Last updated
06/16/2018
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