Individual
DR. IRA H KIRSCHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5814
(718) 579-2939
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5814
(718) 579-3929
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
162874
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
162874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281070
—
NY
01
—
1628741
WORKERS COMPENSATION
NY
01
—
200037532
RAILROAD MEDICARE
NY
01
—
3290884
AETNA HMO
NY
01
—
4409829
AETNA PPO
NY
01
—
500112
GHI
NY
01
—
6C1800
PHS
NY
01
—
8681413
CIGNA
NY
01
—
87G893
BLUE CROSS/BLUE SHIELD
NY
01
—
885288
UNITED HEALTHCARE
NY
01
—
WS1299
OXFORD
NY
Enumeration date
01/09/2006
Last updated
03/02/2015
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