Organization
DR. MERAB BOTER MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERAB BOTER M.D. (PRESIDENT)
(718) 238-1555
Entity
Organization
Contact information
Practice address
2177 65TH ST, 2ND FLOOR, BROOKLYN, NY 11204
(718) 238-1555
(718) 748-3666
Mailing address
2177 65TH ST, 2ND FLOOR, BROOKLYN, NY 11204
(718) 238-1555
(718) 748-3666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
173014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01069218
—
NY
Enumeration date
04/17/2007
Last updated
09/03/2008
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