Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | NYS121050 | NY |
N | 111NI0900X | Internist | NYS121050 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 121050 | NY |
NPI | 1023195401 |
---|---|
Provider Name | Mr. Martin Rothschild |
First Address | New York, NY 10075-0383 |
Second Address | New York, NY 10075-0383 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 23/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0003218 | GHI (01) | |
A60013 | (02) |