Individual
DR. DANIEL B. GOLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1228, NEW YORK, NY 10029-6500
(212) 241-3619
(212) 289-4096
Mailing address
351 BELGROVE DR, APT. 2, KEARNY, NJ 07032-1626
(201) 991-0880
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
225019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02423201
—
NY
01
—
2165N1
PROVIDER ID#
NY
Enumeration date
06/07/2006
Last updated
12/15/2008
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