Ira Birnbaum in Staten Island - Addiction Medicine

Ira Birnbaum - NPI 1760476220

Ira Birnbaum is a Addiction Medicine in Staten Island, New York. Ira Birnbaum practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Ira Birnbaum is 1760476220. The last update date is 2007-07-08.

Ira Birnbaum's current location address is 475 Seaview Ave, Staten Island, New York. You can contact this provider via phone number 9179495833. The mailing address for Ira Birnbaum is 475 Seaview Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Ira Birnbaum
Address 475 Seaview Ave, Staten Island, New York
Phone Number 9179495833
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1760476220
Provider Enumeration Date 2005-09-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 475 Seaview Ave
City Staten Island
State New York (NY)
Post Code 103053436
Phone Number 9179495833
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Ra0401X
Licence No 190752
Definition:
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1420584 NY --

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FAQs about Ira Birnbaum

What is the unique identifier code issued to Ira Birnbaum by the Centers for Medicare & Medicaid Services (CMS)?

The Ira Birnbaum has been assigned the NPI (National Provider Identifier) 1760476220. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Ira Birnbaum is physically located?

The Ira Birnbaum is situated at the following address: 475 Seaview Ave, Staten Island, NY 103053436.

What is the area of specialization for Ira Birnbaum, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ira Birnbaum is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0401X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760476220 to Ira Birnbaum?

The Centers for Medicare & Medicaid Services originally issued the 1760476220 to Ira Birnbaum on 2005-09-09.

As of what date were the Ira Birnbaum's details last updated?

The information pertaining to the Ira Birnbaum, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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