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Organization

JON D. KIRWIN, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON DAVID KIRWIN MD (PRESIDENT)
(718) 288-1875
Entity
Organization

Contact information

Practice address
86 EAST 49TH STREET, KATZ BUILDING, BROOKLYN, NY 11203
(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
09/12/2006
Last updated
03/06/2008
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