Individual
KENNETH GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-3891
(212) 523-3885
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-3891
(212) 523-3885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
124323
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00492282
—
NY
Enumeration date
08/09/2005
Last updated
03/27/2008
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