Individual
SAMUEL M GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 PARK ST, SUITE 201, GLENS FALLS, NY 12801-4403
(518) 798-1719
(518) 798-1943
Mailing address
2 BROAD STREET PLZ, ADIRONDACK MEDICAL SERVICES, GLENS FALLS, NY 12801-4363
(518) 926-6992
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
110911-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00368621
—
NY
Enumeration date
01/19/2007
Last updated
08/18/2015
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