Organization
GOTHAM NEUROSURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDERS JONATHAN COHEN D.O, (PRESIDENT)
(718) 250-8103
Entity
Organization
Contact information
Practice address
240 WILLOUGHBY ST, SUITE 4E, BROOKLYN, NY 11201-5465
(718) 250-8103
(718) 250-6977
Mailing address
240 WILLOUGHBY ST, SUITE 4E, BROOKLYN, NY 11201-5465
(718) 250-8103
(718) 250-6977
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
217215
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02659387
—
NY
Enumeration date
04/04/2008
Last updated
12/11/2008
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