David M Gottesman MEDICAL DOCTOR

NPI 1104155159 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1104155159
Gender Male
Enumeration Date 12/21/2009
Last Updated 12/21/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
104 FISH HOLLOW RD
NORTH CREEK NY, 12853-3502, US
Phone (518) 494-5044
Fax (518) 494-5044
Business Location
104 FISH HOLLOW RD
NORTH CREEK NY, 12853-3502, US
Phone (518) 494-5044
Fax (518) 494-5044
Toxanomy
Taxonomy Code 2084P0804X
License State New York
License Number 099114
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According to our database, David M Gottesman MEDICAL DOCTOR NPI is 1104155159, taxonomy code is 2084P0804X and license number is 099114, license state is located at New York. David M Gottesman MEDICAL DOCTOR physically located at 104 Fish Hollow Rd, North Creek NY, 12853-3502. NPI Number David M Gottesman MEDICAL DOCTOR has the Individual type.

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1104155159 NPI number is provided on an as is basis without warranty of any kind. 1104155159 is maintained by the National Plan & Provider Enumeration System. The contents of David M Gottesman MEDICAL DOCTOR are for informational purposes only.