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Organization
GOTHAM PER DIEM, INC
Active
Organization
GOTHAM PER DIEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL VITALE (INTERIM CEO)
(212) 477-3600
Entity
Organization
Contact information
Practice address
90 BROAD ST - SUITE 1201, NEW YORK, NY 10004-2837
(212) 477-3600
(212) 477-0795
Mailing address
90 BROAD ST - SUITE 1201, NEW YORK, NY 10004-2837
(212) 477-3600
(212) 477-0795
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
96251001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01547731
—
NY
01
—
8499999
GHI ID #
NY
01
—
P66400
EARLY INTERVENTION PROG #
NY
Enumeration date
06/18/2006
Last updated
10/31/2022
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