Birnbaum, Ira

Birnbaum, Ira is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Birnbaum, Ira can be contacted via phone (917) 949-5833.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (917) 949-5833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 190752 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 190752 New York

Profile Details

NPI number 1760476220
LBN Legal business name Birnbaum, Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 18 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 1760476220 NPPES
New York MEDICAID 01420584

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