Individual
DR. MICHAEL KIRSHBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1990 DEER PARK AVE, DEER PARK, NY 11729-3303
(631) 586-7654
Mailing address
1990 DEER PARK AVE, DEER PARK, NY 11729-3303
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063491
NY
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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