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Adam Gottlieb
Adult Health Nurse Practitioner in Massapequa Park, New York
NPI 1154938611

Adam Gottlieb is an Adult Health Nurse Practitioner based in Massapequa Park, NY and is specialized in Adult Health. Adam Gottlieb practices in Massapequa Park, NY. The NPI Number for Adam Gottlieb is 1154938611 and holds a License No. 309995 (New York).

The current practice location address for Adam Gottlieb is 387 Ocean Ave, Massapequa Park, NY and can be reached out via phone at 516-528-4329.

Location: 387 Ocean Ave, Massapequa Park, NY, 11762-1623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154938611
Provider Name
Adam Gottlieb
Credential
Provider Entity Type
Individual
Gender
Male
Address
387 Ocean Ave, Massapequa Park, NY, 11762-1623
Phone Number
516-528-4329
Fax Number
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
387 Ocean Ave
City
Massapequa Park
State
New York
Zip
11762-1623
Phone Number
516-528-4329
Fax Number
person
Provider Business Mailing Address Details
Address
387 Ocean Ave
City
Massapequa Park
State
New York
Zip
11762-1623
Phone Number
516-528-4329
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
309995 (New York)
Definition
Definition to come...
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