Organization
GOTTESMAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVRAHAM J. GOTTESMAN MD (VP)
(646) 757-8751
Entity
Organization
Contact information
Practice address
555 LEFFERTS AVE, BROOKLYN, NY 11225-4543
(646) 757-8751
(877) 885-5991
Mailing address
555 LEFFERTS AVE, BROOKLYN, NY 11225-4543
(646) 757-8751
(877) 885-5991
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
242626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03029178
—
NY
Enumeration date
06/07/2018
Last updated
02/04/2020
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