Organization
LAMM INSTITUTE AT LICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GOTTLIEB MD (MANAGING EMPLOYEE)
(718) 780-1014
Entity
Organization
Contact information
Practice address
110 AMITY ST, BROOKLYN, NY 11201-6107
(718) 780-1014
Mailing address
160 WATER ST, 20FL, NEW YORK, NY 10038-4922
(212) 256-3682
(212) 256-3538
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
08/22/2020
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