| NPI | 1790013597 |
|---|---|
| Former Legal Business Name | ROBERT J. GOTTLIEB, DPM, PC |
| Entity Type | Organization |
| Authorized Contact | JAN M BUDNICK Secretary 516-922-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N002806) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |