Individual
MATTHEW GOTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 E 74TH ST, NEW YORK, NY 10021-3235
(212) 737-3301
Mailing address
2 OVERHILL RD STE 310, SCARSDALE, NY 10583-5316
(212) 737-3301
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
304152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3971298
EMPLOYEE IDENTIFICATION NUMBER
NY
Enumeration date
05/11/2016
Last updated
07/29/2022
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