Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 260273 | NY |
NPI | 1518296078 |
---|---|
Provider Name | Dr. Stefan Gingold Kantrowitz |
First Address | New York, NY 10022-5164 |
Second Address | New York, NY 10022-5164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2009 |
Last Update Date | 28/12/2020 |