Gotlin, Matthew

Gotlin, Matthew is an individual health care provider with primary practice located at 159 E 74Th St , New York NY 10021-3235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gotlin, Matthew can be contacted via phone (212) 737-3301.

Contact Information

Primary practice address
159 E 74Th St New York NY 10021-3235
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 304152 New York

Profile Details

NPI number 1891141560
LBN Legal business name Gotlin, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated Jul 29th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891141560 NPPES
New York Other 13-3971298 EMPLOYEE IDENTIFICATION NUMBER

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