Gottlieb, Helena
Gottlieb, Helena is an individual health care provider with primary practice located at 149 Merrymount St , Staten Island NY 10314-4844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gottlieb, Helena can be contacted via phone (718) 698-6503.Contact Information
Primary practice address
149 Merrymount St
Staten Island NY 10314-4844
Phone: (718) 698-6503
Fax: (718) 698-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 110554 | New York |
Profile Details
| NPI number | 1811962681 |
|---|---|
| LBN Legal business name | Gottlieb, Helena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1811962681 | NPPES |
| New York | MEDICAID | 01780827 |
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