Individual
LARRY KIRSCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
413 PACIFIC ST, MASSAPEQUA PARK, NY 11762-1312
(516) 492-0066
Mailing address
413 PACIFIC ST, MASSAPEQUA PARK, NY 11762-1312
(516) 492-0066
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
298691
NY
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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