Individual
DR. JORDAN MICHAEL KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 909-9018
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036156617
IL
208600000X
Surgery Physician
2020012380
MO
2086S0102X
Surgical Critical Care Physician
036156617
IL
2086S0102X
Surgical Critical Care Physician
Primary
2020012380
MO
2086S0102X
Surgical Critical Care Physician
OS020702
NY
2086S0127X
Trauma Surgery Physician
036156617
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318588
MEDICAL LICENSE
NY
Enumeration date
04/27/2015
Last updated
01/25/2023
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