Individual
DR. SUSAN E GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M..D.
Contact information
Practice address
263 7TH AVE, BROOKLYN, NY 11215-7247
(718) 246-8522
(718) 246-8511
Mailing address
1 GRACE CT, BROOKLYN, NY 11201-4195
(718) 875-8262
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
143744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01137879
—
NY
Enumeration date
09/09/2005
Last updated
09/07/2023
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