Rebecca Lynn Kirshak

NPI #1982967881 in Brookhaven, New York

Provider Information

NPI Number: 1982967881
Entity Type: Individual
Name: Rebecca Lynn Kirshak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 17, 2012
Last Updated: Jun 17, 2012

Practice Location

Address: 11 ASTOR AVE
City: Brookhaven
State: New York
ZIP Code: 11719-9760
Phone: (631) 905-9086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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