Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 221653 | NY |
Y | 208800000X | Urologist | 25MA09130400 | NJ |
NPI | 1003002072 |
---|---|
Provider Name | Dr. Alexander Gotesman |
First Address | Brooklyn, NY 11230-7134 |
Second Address | Hamilton, NJ 08690-3701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 12/09/2012 |