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Individual

DR. ANDREW H GOTZIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,PSHYCIATRY

Contact information

Practice address
250 W 19TH ST, APT 1C, NEW YORK, NY 10011-4034
(212) 627-1623
(914) 793-2159
Mailing address
250 W 19TH ST, APT 1C, NEW YORK, NY 10011-4034
(212) 627-1623
(914) 793-2159

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
191799
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00103976
RR MEDICARE
NY
Enumeration date
11/02/2006
Last updated
07/08/2007
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