Individual
DANIEL GOTTFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Contact information
Practice address
PO BOX 17, PORT JEFFERSON STATION, NY 11776-0017
(631) 480-7788
Mailing address
PO BOX 17, PORT JEFFERSON STATION, NY 11776-0017
(631) 480-7788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356974
NY
Other
Enumeration date
11/07/2023
Last updated
06/09/2025
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