Organization
ANTIDOTE A.I. OF KANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARUCH BERZON MD (OWNER)
(866) 256-2134
Entity
Organization
Contact information
Practice address
1460 BROADWAY, NEW YORK, NY 10036-7329
(866) 256-2134
Mailing address
1460 BROADWAY, NEW YORK, NY 10036-7329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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