Provider Demographics
NPI:1649680737
Name:BIRNBAUM, CHARLOTTE ARONIN (MD)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:ARONIN
Last Name:BIRNBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:GELLER
Other - Last Name:ARONIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:73 SPRING STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012
Mailing Address - Country:US
Mailing Address - Phone:212-431-4749
Mailing Address - Fax:917-210-4316
Practice Address - Street 1:73 SPRING STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012
Practice Address - Country:US
Practice Address - Phone:212-431-4749
Practice Address - Fax:917-210-4316
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY289467207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program