Individual provider · Type 1 NPI

Richard W. Gotlib, MD

Specialist · Commack, NY

NPI number 1386623338 Active

Practice location

6080 Jericho Tpke, Ste 102
Commack, NY 11725-2850

Call (631) 486-4742 Map

Fax (631) 486-4745

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X196722-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386623338

Richard W. Gotlib, MD's National Provider Identifier is 1386623338, issued on Jan 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Commack, NY. The record was last updated on Jul 8, 2007.