Individual
KYLIE BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-3293
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-3293
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
292075
NY
207R00000X
Internal Medicine Physician
292075
NY
Other
Enumeration date
07/01/2014
Last updated
04/05/2021
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