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Individual

DR. HOWARD PAUL GOTTLIEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
185 FAIR ST, KINGSTON, NY 12401-0502
(845) 883-8989
Mailing address
361 PEARL ST, KINGSTON, NY 12401-6161
(845) 519-5610

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
124704-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00276444
NY
01
124704-1
NY STATE PHYSICIAN LICENS
NY
Enumeration date
12/01/2006
Last updated
03/07/2023
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