Individual
SUSAN GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 E SUNRISE HWY, LINDENHURST, NY 11757-2539
(631) 225-7200
(631) 930-9451
Mailing address
150 E SUNRISE HWY, LINDENHURST, NY 11757-2539
(631) 225-7200
(631) 930-9451
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
201697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02084357
—
NY
Enumeration date
04/05/2006
Last updated
06/21/2012
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