Stan Gottlieb

NPI #1487771770 in Floral Park, New York

Provider Information

NPI Number: 1487771770
Entity Type: Individual
Name: Stan Gottlieb
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 26910 GRAND CENTRAL PKWY
Address 2: APT 31D
City: Floral Park
State: New York
ZIP Code: 11005-1045
Phone: (718) 631-1317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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