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DR. MATTHEW PHILLIP GOTTLIEB DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1639352958

Individual Registrant:
DR. MATTHEW PHILLIP GOTTLIEB DC
Gender: M
Sole Proprietor

Location and contact information for practice:
7909B NORTHERN BLVD  JACKSON HTS, NY 11372-1223 US
Tel: 718-507-1110  Fax: 718-507-1530

Contact information for business:
7909B NORTHERN BLVD  JACKSON HTS, NY 11372-1223 US
Tel: 718-507-1110  Fax: 718-507-1530

Registration Information:
NPI: 1639352958
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
NYX009381

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NY - Page 1



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