Individual
PETER GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2905 HYLAN BLVD, STATEN ISLAND, NY 10306-4653
(718) 351-1212
(718) 351-4114
Mailing address
9483 RIDGE BLVD, 2C, BROOKLYN, NY 11209-6718
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
181480
NY
Other
Enumeration date
06/06/2006
Last updated
11/03/2015
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