Gottlieb, Stan

Gottlieb, Stan is an sole proprietor health care provider with primary practice located at 26910 Grand Central Pkwy Apt 31D, Floral Park NY 11005-1045. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gottlieb, Stan can be contacted via phone (718) 631-1317.

Contact Information

Primary practice address
26910 Grand Central Pkwy Apt 31D Floral Park NY 11005-1045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 025894 New York

Profile Details

NPI number 1487771770
LBN Legal business name Gottlieb, Stan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1487771770 NPPES
New York Other 025894 PHARMACIST

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