Individual
LIOR MORTOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 E 85TH ST FL 3, NEW YORK, NY 10028-3135
(212) 731-3232
Mailing address
228 E ROUTE 59, # 408, NANUET, NY 10954-2905
(718) 362-1411
(718) 414-1651
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
020804-1
NY
Other
Enumeration date
08/30/2017
Last updated
02/06/2019
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