Provider Demographics
NPI:1992783187
Name:KIRSCHENBAUM ORTHOPAEDICS PLLC
Entity type:Organization
Organization Name:KIRSCHENBAUM ORTHOPAEDICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:H
Authorized Official - Last Name:KIRSCHENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-328-5111
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:914-328-5111
Mailing Address - Fax:914-328-5211
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-328-5111
Practice Address - Fax:914-328-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4409829OtherAETNA
NY87G893OtherBLUE CROSS/BLUE SHIELD
NY6C1800OtherPHS
NY3290884OtherAETNA HMO
NYWS1299OtherOXFORD
NY500112OtherGHI
NY8681413OtherCIGNA
NY87G893OtherBLUE CROSS/BLUE SHIELD
NYWS1299OtherOXFORD
NY8681413OtherCIGNA