Gottesman, Samuel M
Gottesman, Samuel M is an individual health care provider with primary practice located at 102 Park St Suite 201, Glens Falls NY 12801-4403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gottesman, Samuel M can be contacted via phone (518) 798-1719.Contact Information
Primary practice address
102 Park St Suite 201
Glens Falls NY 12801-4403
Phone: (518) 798-1719
Fax: (518) 798-1943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 110911-1 | New York |
Profile Details
| NPI number | 1548313745 |
|---|---|
| LBN Legal business name | Gottesman, Samuel M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Aug 18th, 2015 - about 9 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 | 1548313745 | NPPES |
| New York | MEDICAID | 00368621 |
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