Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deirdre Marie Kiernan, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1063670941

Deirdre Marie Kiernan, PHYSICIANASSISTANT is a Physician Assistant in New York, New York. Graduated from Js Weill Medical College, Cornell University in 1999, 27 years ago. Practices with MSKCC Surgery Group, a 365-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
Js Weill Medical College, Cornell University
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

1275 York Ave H 1206
New York, NY 10065-6007
Phone: (917) 693-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 007299 (NY)

Record details

NPI number1063670941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 28, 2008
Last updated in NPPESJune 19, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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