Individual
DR. KENNETH ROBERT KIRSHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
350 CENTRAL PARK W, SUITE 1B, NEW YORK, NY 10025-6547
(212) 662-9387
(212) 662-9387
Mailing address
350 CENTRAL PARK W, SUITE 1B, NEW YORK, NY 10025-6547
(212) 662-9387
(212) 662-9387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8216
NY
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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