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Contact Information

RICHARD W GOTLIB, MD
6080 JERICHO TPKE
STE 102
COMMACK, NY11725-2850
 Phone: 631-486-4742
 Fax: 631-486-4745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RICHARD W GOTLIB · (Male)

NPI Number 1386623338
Status Active
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 196722-1
  • NY Medicaid 01921168
Hospital affiliation(s)
  • NASSAU UNIVERSITY MEDICAL CENTER - (Acute Care)
    2201 HEMPSTEAD TURNPIKE
    EAST MEADOW, NY 11554
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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