Provider Demographics
NPI:1326653544
Name:KIRSCHENBAUM, BELLA SARAH
Entity Type:Individual
Prefix:
First Name:BELLA
Middle Name:SARAH
Last Name:KIRSCHENBAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BELLA
Other - Middle Name:SARAH
Other - Last Name:PLISKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:580 CROWN ST APT 508
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5390
Mailing Address - Country:US
Mailing Address - Phone:848-525-4990
Mailing Address - Fax:
Practice Address - Street 1:1268 E 14TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5241
Practice Address - Country:US
Practice Address - Phone:718-382-0045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health