Provider Demographics
NPI:1023262631
Name:HIRSCH, DONNA KAREN (DPT)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:KAREN
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 E 83RD ST
Mailing Address - Street 2:APARTMENT 17B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4337
Mailing Address - Country:US
Mailing Address - Phone:516-314-4079
Mailing Address - Fax:
Practice Address - Street 1:353 E 83RD ST
Practice Address - Street 2:APARTMENT 17B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4337
Practice Address - Country:US
Practice Address - Phone:516-314-4079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0295832251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics