person
Dr. Richard W Gotlib, MD
Specialist in Commack, New York
NPI 1386623338

Richard W Gotlib is a Specialist based in Commack, NY. Richard W Gotlib practices in Commack, NY and has the professional credentials of MD. The NPI Number for Richard W Gotlib is 1386623338 and holds a License No. 196722-1 (New York).

The current practice location address for Richard W Gotlib is 6080 Jericho Tpke, Commack, NY and can be reached out via phone at 631-486-4742 and via fax at 631-486-4745.

Location: 6080 Jericho Tpke, Commack, NY, 11725-2850
person
Provider Profile Details
NPI Number
1386623338
Provider Name
Richard W Gotlib
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6080 Jericho Tpke, Commack, NY, 11725-2850
Phone Number
631-486-4742
Fax Number
631-486-4745
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01921168 05 NY
institution
Provider Business Practice Location Address Details
Address
6080 Jericho Tpke
City
State
Zip
11725-2850
Phone Number
631-486-4742
Fax Number
631-486-4745
person
Provider Business Mailing Address Details
Address
6080 Jericho Tpke
City
State
Zip
11725-2850
Phone Number
631-486-4742
Fax Number
631-486-4745
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
196722-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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