Gottesman, Lawrence

Gottesman, Lawrence is an sole proprietor health care provider with primary practice located at 66 Lincoln Court Suite A, Rockville Centre NY 11570. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gottesman, Lawrence can be contacted via phone (516) 678-4004.

Contact Information

Primary practice address
66 Lincoln Court Suite A Rockville Centre NY 11570
Fax: (516) 678-4564
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 033216 New York

Profile Details

NPI number 1629038328
LBN Legal business name Gottesman, Lawrence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2006
Last updated Oct 8th, 2010 - about 14 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 1629038328 NPPES
New York MEDICAID 02721855

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