Individual
DR. JACOB J GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 CENTRAL PARK W APT 9K, NEW YORK, NY 10023-7713
(212) 474-8810
Mailing address
152 W 57TH ST, FL 20 - CO ALTIU, NEW YORK, NY 10019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216000
NY
208D00000X
General Practice Physician
Primary
216000
NY
Other
Enumeration date
10/13/2011
Last updated
08/01/2023
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