Individual
DR. DAVID GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
244 5TH AVE, NEW YORK, NY 10001-7604
(347) 603-5785
Mailing address
244 5TH AVE, NEW YORK, NY 10001-7604
(347) 603-5785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023528
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
09/12/2018
Last updated
12/06/2019
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