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Martin O Gottlieb Md
Specialist in North Merrick, New York
NPI 1669689659

Martin O Gottlieb Md is a Specialist based in North Merrick, NY. Martin O Gottlieb Md practices in North Merrick, NY. The NPI Number for Martin O Gottlieb Md is 1669689659 and holds a License No. 147430 (New York).

The current practice location address for Martin O Gottlieb Md is 1005 Merrick Ave, North Merrick, NY and can be reached out via phone at 718-979-9623 and via fax at 718-980-0628.

Location: 1005 Merrick Ave, North Merrick, NY, 11566-1033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669689659
Provider Name
Martin O Gottlieb Md
Credential
Provider Entity Type
Organization
Address
1005 Merrick Ave, North Merrick, NY, 11566-1033
Phone Number
718-979-9623
Fax Number
718-980-0628
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
147430 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
1005 Merrick Ave
City
North Merrick
State
New York
Zip
11566-1033
Phone Number
718-979-9623
Fax Number
718-980-0628
person
Provider Business Mailing Address Details
Address
1005 Merrick Ave
City
North Merrick
State
New York
Zip
11566-1033
Phone Number
718-979-9623
Fax Number
718-980-0628
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
147430 (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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