Individual
DANA GOTTESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3512 QUENTIN RD, BROOKLYN, NY 11234-4244
(800) 275-3243
Mailing address
2601 MOTT AVE, FAR ROCKAWAY, NY 11691-1761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023169
NY
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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