Provider Demographics
NPI:1740499037
Name:KIRSCHNER, ANDREW (CO)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:KIRSCHNER
Suffix:
Gender:M
Credentials:CO
Other - Prefix:MR
Other - First Name:ANDREW
Other - Middle Name:
Other - Last Name:KIRSCHNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CO
Mailing Address - Street 1:2 HUNTER CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-7814
Mailing Address - Country:US
Mailing Address - Phone:631-423-6477
Mailing Address - Fax:631-385-0371
Practice Address - Street 1:2 HUNTER CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-7814
Practice Address - Country:US
Practice Address - Phone:631-423-6477
Practice Address - Fax:631-385-0371
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier