Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 287712 | NY |
NPI | 1013335603 |
---|---|
Provider Name | Lindsey Bornstein Gottlieb |
First Address | New York, NY 10017-5699 |
Second Address | New York, NY 10019-1147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 22/05/2019 |