Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 151386 | NY |
N | 207PP0204X | Pediatric Emergency Physician | 151386 | NY |
N | 208000000X | Pediatrician | 151386 | NY |
NPI | 1063573111 |
---|---|
Provider Name | Dr. George L. Foltin |
First Address | New York, NY 10003-9718 |
Second Address | New York, NY 10003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |