Organization
FALLSBURG PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER J GOTTLIEB FNP (NURSE PRACTITIONER)
(845) 436-1850
Entity
Organization
Contact information
Practice address
142 LAUREL PARK RD, FALLSBURG, NY 12733-5009
(845) 436-1850
(845) 436-1851
Mailing address
142 LAUREL PARK RD, FALLSBURG, NY 12733-5009
(845) 436-1850
(845) 436-1851
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
333279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02919359
—
NY
Enumeration date
04/28/2011
Last updated
01/09/2013
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