Gottlieb, Alice B
Gottlieb, Alice B is an individual health care provider with primary practice located at 336 Route 202 Ste 2 , Somers NY 10589-3221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Gottlieb, Alice B can be contacted via phone (146) 178-9509.Contact Information
Primary practice address
336 Route 202 Ste 2
Somers NY 10589-3221
Phone: (146) 178-9509
Fax: (914) 617-8960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 227191 | Massachusetts |
Profile Details
| NPI number | 1275581407 |
|---|---|
| LBN Legal business name | Gottlieb, Alice B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 25th, 2018 - about 6 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 | 1275581407 | NPPES |
| New York | MEDICAID | 01040766 | |
| New York | Other | 146528 | |
| New York | Other | 028898 |
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