Organization
SAMUEL GOTTESMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOTTESMAN MD (OWNER/PHYSICIAN)
(518) 793-5142
Entity
Organization
Contact information
Practice address
90 SOUTH ST, STE J, GLENS FALLS, NY 12801-4328
(518) 793-5142
Mailing address
90 SOUTH ST, STE J, GLENS FALLS, NY 12801-4328
(518) 793-5142
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
110911-1
NY
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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