Gotlib, Richard W
Gotlib, Richard W is an individual health care provider with primary practice located at 6080 Jericho Tpke Ste 102, Commack NY 11725-2850. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gotlib, Richard W can be contacted via phone (631) 486-4742.Contact Information
Primary practice address
6080 Jericho Tpke Ste 102
Commack NY 11725-2850
Phone: (631) 486-4742
Fax: (631) 486-4745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 196722-1 | New York |
Profile Details
| NPI number | 1386623338 |
|---|---|
| LBN Legal business name | Gotlib, Richard W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386623338 | NPPES |
| New York | MEDICAID | 01921168 |
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