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Individual

DR. JONATHAN MARTIN HIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2136 OCEAN AVE, BROOKLYN, NY 11229-1406
(718) 376-5177
(718) 376-1525
Mailing address
1861 E 22ND ST, BROOKLYN, NY 11229-1526
(718) 376-5177
(718) 376-1525

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
182827-2
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01435189
NY
01
5301223
GHI
01
P1922953
OXFORD
Enumeration date
09/17/2007
Last updated
09/17/2007
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