Individual
DR. VLADIMIR GOTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10850 62ND DR, SUITE LA, FOREST HILLS, NY 11375-1261
(718) 830-6333
(718) 830-6355
Mailing address
10850 62ND DR, SUITE LA, FOREST HILLS, NY 11375-1261
(718) 830-6333
(718) 830-6355
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
218369
NY
207RH0003X
Hematology & Oncology Physician
MD20639
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199AB1
BCBS
NY
01
—
218369
HIP
NY
01
—
2513705
GHI
NY
01
—
7799489
AETNA
NY
01
—
P3043079
OXFORD
NY
Enumeration date
05/23/2005
Last updated
04/25/2025
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