Individual
DR. MICHAEL LEO BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8305
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
267423
NY
2084P0804X
Child & Adolescent Psychiatry Physician
267423
NY
Other
Enumeration date
07/14/2010
Last updated
01/31/2018
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