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Organization
ANTIDOTE A.I. HEALTH OF FL P.A.
Active
Organization
ANTIDOTE A.I. HEALTH OF FL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARUCH BERZON (OWNER)
(845) 213-3504
Entity
Organization
Contact information
Practice address
1460 BROADWAY, NEW YORK, NY 10036-7329
(845) 213-3504
Mailing address
1460 BROADWAY, NEW YORK, NY 10036-7329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/19/2021
Last updated
02/04/2022
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