Individual provider · NPI-1

Ron D Gottlieb, M.D.

Otolaryngology · Islandia, NY

NPI number1255425849
StatusActive
Last updated in NPPESApr 2, 2019

Details

NPI
1255425849
Entity type
Individual (NPI-1)
Name
Ron D Gottlieb
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Apr 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology179595NYYes

Practice location

2929 Expressway Dr N
Islandia, NY 11749-5306

Phone 631-665-2430 · Fax 631-665-2342

Mailing address

660 White Plains Rd Fl 4
Tarrytown, NY 10591-5139

Phone 914-984-2546

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Otolaryngology providers in Islandia, NY