Individual
DR. MARC DAVID GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6740 4TH AVE FL 3, BROOKLYN, NY 11220-5350
(929) 455-2700
Mailing address
121 DEKALB AVE, STE 9E MAYNARD BLDG, BROOKLYN, NY 11201-5425
(718) 250-8520
(718) 250-6327
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
196622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01888499
—
NY
Enumeration date
12/29/2005
Last updated
04/01/2021
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