Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 150861-1 | NY |
NPI | 1225061518 |
---|---|
Provider Name | Dr. Nelson G Botwinick |
First Address | New York, NY 10038-2612 |
Second Address | New York, NY 10038-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 15/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A63994 | (02) | NY |