MICHAEL S GOTTLIEB

RONKONKOMA, NY
NPI1215462205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F-341691)
Enumeration Date2017-04-27
Last Update Date2023-10-23
Business Address
MICHAEL S GOTTLIEB F.N.P-BC(ANCC) M.S.N
500 PECONIC ST 92A
RONKONKOMA, NY 11779-7100
Phone number: 631-833-0696
Mailing Address
MICHAEL S GOTTLIEB F.N.P-BC(ANCC) M.S.N
500 PECONIC ST 92A
RONKONKOMA, NY 11779-7100
Phone number: 929-430-7907
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