Gottesman, Susan R.S.

Gottesman, Susan R.S. is an individual health care provider with primary practice located at 450 Clarkson Ave Msc 37, Brooklyn NY 11203-2056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Gottesman, Susan R.S. can be contacted via phone (718) 270-2744.

Contact Information

Primary practice address
450 Clarkson Ave Msc 37 Brooklyn NY 11203-2056
Fax: (718) 270-4567
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 177948-1 New York

Profile Details

NPI number 1225013378
LBN Legal business name Gottesman, Susan R.S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Sep 11th, 2013 - about 11 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 1225013378 NPPES
New York MEDICAID 02544865

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