Provider Demographics
NPI:1841089596
Name:KIRSCH, MENDEL (CF-SLP)
Entity type:Individual
Prefix:
First Name:MENDEL
Middle Name:
Last Name:KIRSCH
Suffix:
Gender:
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 WATERVIEW ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-1756
Mailing Address - Country:US
Mailing Address - Phone:216-799-2086
Mailing Address - Fax:
Practice Address - Street 1:762 WYTHE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-7831
Practice Address - Country:US
Practice Address - Phone:718-490-5144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist