Hirsch, Kenneth A
Hirsch, Kenneth A is an sole proprietor health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Hirsch, Kenneth A can be contacted via phone (631) 476-2808.Contact Information
Primary practice address
75 N Country Rd
Port Jefferson NY 11777-2119
Phone: (631) 476-2808
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 148992 | New York |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 148992 | New York |
Profile Details
NPI number | 1972618296 |
---|---|
LBN Legal business name | Hirsch, Kenneth A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2006 |
Last updated | Mar 13th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972618296 | NPPES |
New York | MEDICAID | 01175704 | |
New York | Other | 148992 |
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