# GOTTESMAN MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891288676
- **Authorized official:** DR. AVRAHAM J. GOTTESMAN MD (VP)
- **Authorized official phone:** (646) 757-8751

## Contact information

- **Practice address:** 555 LEFFERTS AVE, BROOKLYN, NY 11225-4543
- **Practice address phone:** (646) 757-8751
- **Practice address fax:** (877) 885-5991
- **Mailing address:** 555 LEFFERTS AVE, BROOKLYN, NY 11225-4543
- **Mailing address phone:** (646) 757-8751
- **Mailing address fax:** (877) 885-5991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 242626 | NY | Yes |

## Other

- **Enumeration date:** 06/07/2018
- **Last updated:** 02/04/2020