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
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/19/2021
Last updated
02/04/2022
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