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
Phone: (718) 270-2744
Fax: (718) 270-4567
Website:
Health care specialties
Specialty | Code | License # | 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 12 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 | 1225013378 | NPPES |
New York | MEDICAID | 02544865 |
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