Individual
YASHODHARA KIRTANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114-12 BEACH CHANNEL DR, ROCKAWAY PARK, NY 11694-1514
(718) 318-6021
(718) 318-4802
Mailing address
114-12 BEACH CHANNEL DR, ROCKAWAY PARK, NY 11694-1514
(718) 318-6021
(718) 318-4802
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
154995
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099733
GHI
NY
01
—
271AU2
BC/BS
NY
Enumeration date
05/23/2006
Last updated
03/09/2011
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