Martin O Gottlieb Md

LBN: Martin O Gottlieb Md
Martin O Gottlieb Md is an health care organization with primary practice located at 1005 Merrick Ave , North Merrick NY 11566-1033. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Martin O Gottlieb Md can be contacted via phone (718) 979-9623, or through Gottlieb, Martin O via phone (718) 979-9623.

Contact Information

Primary practice address
1005 Merrick Ave North Merrick NY 11566-1033
Phone: (718) 979-9623
Fax: (718) 980-0628
Website:
Map and Directions
Authorized official contact:
Name: Gottlieb, Martin O Doctor of Medicine (MD)
Phone: (718) 979-9623

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 147430 New York

Profile Details

NPI number 1669689659
LBN Legal business name Martin O Gottlieb Md
DBA Doing business as
Authorized official Gottlieb, Martin O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Feb 25th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669689659 NPPES
New York Other 147430 LICENSE

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