Individual
DR. ALITA JADE GOTLIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
391 W MAIN ST, HUNTINGTON, NY 11743-3296
(631) 549-9400
(631) 549-1190
Mailing address
391 W MAIN ST, HUNTINGTON, NY 11743-3296
(631) 549-9400
(631) 549-1190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068619
NY
Other
Enumeration date
10/30/2021
Last updated
11/21/2021
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