Hirsch, Jill

Hirsch, Jill is an individual health care provider with primary practice located at 155 Crystal Run Rd , Middletown NY 10941-4028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hirsch, Jill can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
155 Crystal Run Rd Middletown NY 10941-4028
Fax: (845) 796-5807
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 151639 New York

Profile Details

NPI number 1184617144
LBN Legal business name Hirsch, Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 8th, 2007 - about 17 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 1184617144 NPPES
New York MEDICAID 02651009

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