Gottlieb, Marc David
Gottlieb, Marc David is an sole proprietor health care provider with primary practice located at 6740 4Th Ave Fl 3 , Brooklyn NY 11220-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gottlieb, Marc David can be contacted via phone (929) 455-2700.Contact Information
Primary practice address
6740 4Th Ave Fl 3
Brooklyn NY 11220-5350
Phone: (929) 455-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 196622 | New York |
Profile Details
| NPI number | 1104803287 |
|---|---|
| LBN Legal business name | Gottlieb, Marc David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Apr 1st, 2021 - about 5 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 | 1104803287 | NPPES |
| New York | MEDICAID | 01888499 |
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