Gottlieb, Susan E
Gottlieb, Susan E is an individual health care provider with primary practice located at 263 7Th Ave , Brooklyn NY 11215-7247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Gottlieb, Susan E can be contacted via phone (718) 246-8522.Contact Information
Primary practice address
263 7Th Ave
Brooklyn NY 11215-7247
Phone: (718) 246-8522
Fax: (718) 246-8511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 143744 | New York |
Profile Details
| NPI number | 1619961190 |
|---|---|
| LBN Legal business name | Gottlieb, Susan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Sep 7th, 2023 - about last year |
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 | 1619961190 | NPPES |
| New York | MEDICAID | 01137879 |
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