Provider Demographics
NPI:1023123619
Name:HIRSCH, KARYN MARLENE (MD)
Entity type:Individual
Prefix:DR
First Name:KARYN
Middle Name:MARLENE
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17 ROCKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-4130
Mailing Address - Country:US
Mailing Address - Phone:914-967-8805
Mailing Address - Fax:
Practice Address - Street 1:2749 STONEY ST
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-2024
Practice Address - Country:US
Practice Address - Phone:914-962-2661
Practice Address - Fax:914-962-5461
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1799942085R0001X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice