Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 299517 | NY |
NPI | 1003267519 |
---|---|
Provider Name | Madi Lindauer |
First Address | Bronx, NY 10456-3402 |
Second Address | Brooklyn, NY 11212-3139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2016 |
Last Update Date | 20/07/2021 |