Individual
BERT WALTER GOTTESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 12TH AVE, 1B, BROOKLYN, NY 11219-3072
(347) 417-1165
Mailing address
4802 12TH AVE, 1B, BROOKLYN, NY 11219-3072
(347) 417-1165
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
148220
NY
208D00000X
General Practice Physician
Primary
148220
NY
Other
Enumeration date
11/14/2011
Last updated
01/28/2013
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