Individual
AARON LEO GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6902
(718) 226-6844
Mailing address
1 EDGEWATER ST, 6TH FL. PAYER RELATIONS, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02201054
—
NY
01
—
04-07732
EVERCARE
—
01
—
141437P
HIP
—
01
—
20811I
MAGNACARE
—
01
—
21149183202
BEECHSTREET
—
01
—
213117B11
HEALTHFIRST
—
01
—
2514189
GHI
—
01
—
88S34
EMPIRE BC/BS
—
01
—
P2668751
OXFORD
—
Enumeration date
10/28/2005
Last updated
05/08/2008
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