Individual
DR. HELENA GOTTLIEB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
149 MERRYMOUNT ST, STATEN ISLAND, NY 10314-4844
(718) 698-6503
(718) 698-1230
Mailing address
149 MERRYMOUNT ST, STATEN ISLAND, NY 10314-4844
(718) 698-6503
(718) 698-1230
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
110554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01780827
—
NY
Enumeration date
02/23/2006
Last updated
07/09/2007
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