Provider Demographics
NPI:1720062326
Name:KIRSCHEN, NEIL BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:BARRY
Last Name:KIRSCHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:77 NORTH CENTRE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570
Mailing Address - Country:US
Mailing Address - Phone:516-764-7246
Mailing Address - Fax:516-678-3525
Practice Address - Street 1:77 NORTH CENTRE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-764-7246
Practice Address - Fax:516-678-3525
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1527711207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
112999600OtherUNITED HEALTHCARE
72D781OtherMEDICARE
P3291435OtherOXFORD
112999600OtherMULTIPLAN
87248OtherGHI
8799819OtherGHI PPO
CM0035OtherRAILROAD MEDICARE
118077OtherVYTRA
112999600OtherMDNY
5813851OtherCIGNA
NY01631305Medicaid
112999600OtherHORIZON
4C9360OtherPHS HEALTHNET
112999600OtherEMPIRE PLAN GVT
3B0261OtherBCBS
112999600OtherMAGNACARE
P620959OtherOXFORD ALT MED
NY72D781Medicare PIN
3B0261OtherBCBS