Birnbaum, Audrey H

Birnbaum, Audrey H is an individual health care provider with primary practice located at 110 S Bedford Rd Care Mount Medical Pc, Mount Kisco NY 10549-3446. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Birnbaum, Audrey H can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
110 S Bedford Rd Care Mount Medical Pc Mount Kisco NY 10549-3446
Phone: (914) 241-1050
Fax: (914) 242-1516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 174226 New York
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 174226 New York

Profile Details

NPI number 1861444606
LBN Legal business name Birnbaum, Audrey H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861444606 NPPES
New York Other 0667910001 DME
New York Other P00428243 DME
New York MEDICAID 01274437 DME

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