KENNETH A HIRSCH, MD, Emergency Medical Services PORT JEFFERSON, NY

Contact Information

KENNETH A HIRSCH, MD

75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119

Phone: 631-476-2808
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Emergency Medical Services	207PE0004X	93	Physician/Emergency Medicine
Undersea and Hyperbaric Medicine	207PE0005X	93	Physician/Emergency Medicine

Indicates primary specialty

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NPI Profile & details for KENNETH A HIRSCH · (Male)

NPI #	`1972618296`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	08/19/2006
Last updated	03/13/2008 - About 18 years ago
Sole proprietor ¹	Yes
Identifiers	NY License # 148992 NY Medicaid 01175704 NY Other 148992 STATE LICENSE
Hospital affiliation(s)	JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care) 75 NORTH COUNTRY ROAD PORT JEFFERSON, NY 11777

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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KENNETH A HIRSCH, MD – NPI #1972618296Emergency Medical Services

Contact Information

Specialty

Emergency Medical Services

Undersea and Hyperbaric Medicine

NPI Profile & details for KENNETH A HIRSCH · (Male)

Reviews for KENNETH A HIRSCH

KENNETH A HIRSCH, MD – NPI #1972618296
Emergency Medical Services