Individual
DR. JON DAVID KIRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86 E 49TH ST, KATZ BUILDING, BROOKLYN, NY 11203-1901
(718) 288-1875
(212) 321-6101
Mailing address
PO BOX 3383, CHURCH STREET STATION, NEW YORK, NY 10008-3383
(718) 288-1875
(212) 321-6101
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
160062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01557735
—
NY
Enumeration date
03/08/2006
Last updated
03/06/2008
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