Individual
DR. STEWART GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
453 ARGYLE RD, CEDARHURST, NY 11516-1234
(516) 791-0033
(515) 791-0033
Mailing address
453 ARGYLE RD, CEDARHURST, NY 11516-1234
(516) 791-0033
(515) 791-0033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T002895-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00350330
—
NY
Enumeration date
10/18/2006
Last updated
07/08/2007
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