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Individual

MICHAEL D GOTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GUSTAVE L LEVY PL, KCC 125, NEW YORK, NY 10029-6500
(212) 241-8096
Mailing address
115 CENTRAL PARK W # 3-K, NEW YORK, NY 10023-4198

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
207105
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01765291
NY
Enumeration date
01/29/2007
Last updated
07/08/2007
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