Organization
MADISON AVENUE EMERGENCY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GOTTESFELD DO (PRESIDENT)
(212) 423-4268
Entity
Organization
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4249
(212) 423-4190
Mailing address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4249
(212) 423-4190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02291303
—
NY
01
—
DA7041
RAILROAD MEDICARE
NY
Enumeration date
11/17/2006
Last updated
12/11/2009
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