Martin O Gottlieb Md in North Merrick - Specialist
Martin O Gottlieb Md - NPI 1669689659
Martin O Gottlieb Md is a Specialist in North Merrick, New York. Martin O Gottlieb Md practices all healthcare services and medical treatments related to Specialist. The NPI Number for Martin O Gottlieb Md is 1669689659. The last update date is 2009-02-25.
Martin O Gottlieb Md's current location address is 1005 Merrick Ave, North Merrick, New York. You can contact this provider via phone number 7189799623 and fax number 7189800628. The mailing address for Martin O Gottlieb Md is 1005 Merrick Ave, North Merrick, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Martin O Gottlieb Md |
|---|---|
| Address | 1005 Merrick Ave, North Merrick, New York |
| Phone Number | 7189799623 |
| Fax Number | 7189800628 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gottlieb O Martin |
| Credentials | MD |
| Telephone Number | 7189799623 |
NPI Number Detail
| NPI Number | 1669689659 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2009-02-25 |
Provider Mailing Address Detail
| Address | 1005 Merrick Ave |
|---|---|
| City | North Merrick |
| State | New York (NY) |
| Post Code | 115661033 |
| Phone Number | 7189799623 |
| Fax Number | 7189800628 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 147430 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 147430 | NY | LICENSE |
Post Comment/ Review Below
What is the Martin O Gottlieb Md's unique identification number?
The Martin O Gottlieb Md has been assigned the NPI (National Provider Identifier) Number 1669689659 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Martin O Gottlieb Md is physically located?
The Martin O Gottlieb Md is physically situated at the following address: 1005 Merrick Ave, North Merrick, NY, 115661033.
What is Martin O Gottlieb Md's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martin O Gottlieb Md's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669689659 to Martin O Gottlieb Md?
The Martin O Gottlieb Md received its 1669689659 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date was the information regarding Martin O Gottlieb Md, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Martin O Gottlieb Md, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-25.