Alice B Gottlieb in South Salem - Dermatology

Alice B Gottlieb - NPI 1275581407

Alice B Gottlieb is a Dermatology in South Salem, New York. Alice B Gottlieb practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Alice B Gottlieb is 1275581407. The last update date is 2018-06-25.

Alice B Gottlieb's current location address is 51 Twin Lakes Rd, South Salem, New York. You can contact this provider via phone number 7325892328. The mailing address for Alice B Gottlieb is 51 Twin Lakes Rd, South Salem, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Alice B Gottlieb
Address 51 Twin Lakes Rd, South Salem, New York
Phone Number 7325892328
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1275581407
Provider Enumeration Date 2006-05-04
Last Updated Date 2018-06-25

Provider Mailing Address Detail

Address 51 Twin Lakes Rd
City South Salem
State New York (NY)
Post Code 105901012
Phone Number 7325892328
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 227191
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1040766 NY --
146528 NY NY STATE LICENCE
28898 CT CT LICENCE

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FAQs about Alice B Gottlieb

What is the unique 10-digit identifier code issued to Alice B Gottlieb by the Centers for Medicare & Medicaid Services?

The Alice B Gottlieb has been assigned the NPI (National Provider Identifier) 1275581407 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Alice B Gottlieb located?

The Alice B Gottlieb is located at 51 Twin Lakes Rd, South Salem, NY 105901012.

What is Alice B Gottlieb's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Alice B Gottlieb's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275581407 to Alice B Gottlieb?

The Centers for Medicare & Medicaid Services originally issued the 1275581407 to Alice B Gottlieb on 2006-05-04.

As of what date were the Alice B Gottlieb's details last updated?

The information pertaining to the Alice B Gottlieb, including its address, specialty, and other details, was most recently updated on 2018-06-25.

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