Provider Demographics
NPI:1558631549
Name:KIRCHMANN, KAROLYNA (MSED)
Entity Type:Individual
Prefix:
First Name:KAROLYNA
Middle Name:
Last Name:KIRCHMANN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 LURTING AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1213
Mailing Address - Country:US
Mailing Address - Phone:718-931-5338
Mailing Address - Fax:
Practice Address - Street 1:2119 LURTING AVE APT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1213
Practice Address - Country:US
Practice Address - Phone:718-931-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308325091174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist