Provider Demographics
NPI:1861771222
Name:KIRZHNER, IGOR
Entity type:Individual
Prefix:DR
First Name:IGOR
Middle Name:
Last Name:KIRZHNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PINTAIL CT
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-2300
Mailing Address - Country:US
Mailing Address - Phone:336-970-7967
Mailing Address - Fax:
Practice Address - Street 1:6 PINTAIL CT
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-2300
Practice Address - Country:US
Practice Address - Phone:336-970-7967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269636207L00000X
CAC-173510207L00000X
390200000X
DEC1-0010904207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program