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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104803287 NPPES
New York MEDICAID 01888499

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