Provider Demographics
NPI:1578686085
Name:KIRSTEIN, SHIRLEY ROCHELLE (PT)
Entity type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:ROCHELLE
Last Name:KIRSTEIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E 53RD ST
Mailing Address - Street 2:# 6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4911
Mailing Address - Country:US
Mailing Address - Phone:917-533-4700
Mailing Address - Fax:212-986-2757
Practice Address - Street 1:275 MADISON AVE
Practice Address - Street 2:SUITE 2400
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1101
Practice Address - Country:US
Practice Address - Phone:212-370-5544
Practice Address - Fax:212-986-2757
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ10211Medicare ID - Type Unspecified