Individual
DR. JACOB J KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 W 86TH ST, NEW YORK, NY 10024-3410
(212) 579-0213
(212) 579-4189
Mailing address
509 CHURCHILL RD, TEANECK, NJ 07666-2905
(201) 837-1012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01592025
—
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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