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1093153694
MAC ROSS GOTTLIEB
STATEN ISLAND, NY
NPI
1093153694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 655635)
Enumeration Date
2013-06-05
Last Update Date
2013-06-05
Business Address
-- MAC ROSS GOTTLIEB RN
248 ANNADALE RD
STATEN ISLAND, NY 10312-1539
Phone number: 191-762-3395
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Mailing Address
-- MAC ROSS GOTTLIEB RN
248 ANNADALE RD
STATEN ISLAND, NY 10312-1539
Phone number: 191-762-3395
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