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Individual

DR. DEMOCLEIA GOTTESMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
415 OCEAN VIEW AVE, BROOKLYN, NY 11235-6828
(718) 934-4842
(781) 616-0165
Mailing address
415 OCEAN VIEW AVE, BROOKLYN, NY 11235-6828
(718) 934-4842
(781) 616-0165

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
181011
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01356463
NY
Enumeration date
05/12/2006
Last updated
07/08/2007
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