MAC ROSS GOTTLIEB

STATEN ISLAND, NY
NPI1093153694
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  655635)
Enumeration Date2013-06-05
Last Update Date2013-06-05
Business Address
MAC ROSS GOTTLIEB RN
248 ANNADALE RD
STATEN ISLAND, NY 10312-1539
Phone number: 191-762-3395
Mailing Address
MAC ROSS GOTTLIEB RN
248 ANNADALE RD
STATEN ISLAND, NY 10312-1539
Phone number: 191-762-3395
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