Individual
MR. ALAN MARC GOTTFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
12416 84TH RD APT 1M, KEW GARDENS, NY 11415-2209
(516) 680-8142
Mailing address
12416 84TH RD APT 1M, KEW GARDENS, NY 11415-2209
(516) 680-8142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011659
NY
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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