Individual
REBECCA GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 BROADWAY, SUITE 5, HEWLETT, NY 11557-1600
(516) 593-0000
Mailing address
1705 BROADWAY, SUITE 5, HEWLETT, NY 11557-1600
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
057172
NY
Other
Enumeration date
04/28/2011
Last updated
05/02/2017
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