NPI: 1790013597
Provider Name: ROBERT J. GOTTLIEB, DPM, PC
Former Legal Business Name: ROBERT J. GOTTLIEB, DPM, PC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization
Specialization: Primary Podiatric Medicine
Address:
46 LITTLE EAST NECK RD
BABYLON, NY
ZIP 11702
Phone: (631) 321-6704
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ROBERT J. GOTTLIEB, DPM, PC is a primary podiatric medicine podiatrist in Babylon, NY. ROBERT J. GOTTLIEB, DPM, PC NPI is 1790013597. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Robert J. Gottlieb, Dpm, Pc.
The provider's business location address is:
46 LITTLE EAST NECK RD
BABYLON, NY
ZIP 11702-509
Phone: (631) 321-6704
Fax: (631) 321-1715
The provider's authorized official is Jan M Budnick .
The authorized official title is Secretary and has the following contact phone number (516) 922-0502.
The enumeration date for this NPI number is 12/7/2009 and was last updated on 12/7/2009.