Individual
RICHARD GOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
25 HAYES HILL DR, NORTHPORT, NY 11768-1331
(631) 261-8873
Mailing address
25 HAYES HILL DR, NORTHPORT, NY 11768-1331
(631) 261-8873
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
6824
NY
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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