NPI 1003203910

Michael Gottesman, MD

Practitioner Diagnostic Neuroimaging (Radiology) Physician Bronx, NY

Practice location

Address: 111 E 210th St, Bronx, NY 10467-2401
Phone: (718) 920-5506

Registered specialties (2)

Diagnostic Neuroimaging (Radiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085D0003X Licence 25MA11610900 (NJ)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003203910
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2015
Record last updated: 4 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.