Individual
DR. SUSAN R.S. GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, MSC 37, BROOKLYN, NY 11203-2056
(718) 270-2744
(718) 270-4567
Mailing address
450 CLARKSON AVE, MSC 37, BROOKLYN, NY 11203-2056
(718) 270-2744
(718) 270-4567
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
177948-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02544865
—
NY
Enumeration date
12/13/2005
Last updated
09/11/2013
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