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Contact Information

YASHODHARA KIRTANE
114-12 BEACH CHANNEL DR
ROCKAWAY PARK, NY11694-1514
 Phone: 718-318-6021
 Fax: 718-318-4802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for YASHODHARA KIRTANE · (Female)

NPI Number 1275588022
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2006
Last updated 03/09/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 154995
  • NY Other 271AU2 BC/BS
  • NY Other 2099733 GHI
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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