Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101260983 | VA |
N | 208000000X | Pediatrician | 01078248A | IN |
N | 208000000X | Pediatrician | 250585 | MA |
N | 208000000X | Pediatrician | 291986-1 | NY |
N | 208000000X | Pediatrician | MD043420 | DC |
Y | 2080P0203X | Pediatric Critical Care Doctor | 0101260983 | NY |
N | 2080P0203X | Pediatric Critical Care Doctor | 0101260983 | VA |
N | 2080P0203X | Pediatric Critical Care Doctor | 01078248A | IN |
N | 2080P0203X | Pediatric Critical Care Doctor | 250585 | MA |
N | 2080P0203X | Pediatric Critical Care Doctor | MD043420 | DC |
NPI | 1285878652 |
---|---|
Provider Name | Dr. Samuel Gorstein |
First Address | Bronx, NY 10467-2401 |
Second Address | Bronx, NY 10467-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 19/01/2018 |