Individual
DR. MATTHEW PHILLIP GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7909B NORTHERN BLVD, JACKSON HTS, NY 11372-1223
(718) 507-1110
(718) 507-1530
Mailing address
7909B NORTHERN BLVD, JACKSON HTS, NY 11372-1223
(718) 507-1110
(718) 507-1530
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009381
NY
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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