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Organization
BIMC FACULTY PRACTICE
Active
Organization
BIMC FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GOTLIN (DIRECTOR)
(646) 935-2255
Entity
Organization
Contact information
Practice address
245 5TH AVE, 2ND FL, NEW YORK, NY 10016-8728
(646) 935-2255
Mailing address
245 5TH AVE, 2ND FL, NEW YORK, NY 10016-8728
(646) 935-2255
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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