Gottlieb, Robert J

Gottlieb, Robert J is an individual health care provider with primary practice located at 5 Squiretown Rd , Hampton Bays NY 11946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gottlieb, Robert J can be contacted via phone (631) 728-5300.

Contact Information

Primary practice address
5 Squiretown Rd Hampton Bays NY 11946
Phone: (631) 728-5300
Fax: (631) 728-5360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1442901 New York

Profile Details

NPI number 1154489847
LBN Legal business name Gottlieb, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 22nd, 2015 - about 11 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 1154489847 NPPES
New York MEDICAID 01193815

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