Individual provider · NPI-1

Dr. Isadora C Botwinick, M.D.

Surgery, Surgical Critical Care · Stony Brook, NY

NPI number1942596762
StatusActive
Last updated in NPPESOct 22, 2019

Details

NPI
1942596762
Entity type
Individual (NPI-1)
Name
Dr. Isadora C Botwinick
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 20, 2011
Last updated
Oct 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0102X Surgery, Surgical Critical Care284543NYYes

Practice location

Hsc Level 19 Room 068
Stony Brook, NY 11794

Phone 631-444-2034

Mailing address

Po Box 1559
Stony Brook, NY 11790-0989

Phone 631-444-2034

Other practice locations

5700 Arlington Ave
11m
Bronx, NY 10471

Phone 917-969-4730

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