DR. SUSAN E GOTTLIEB


Address: 110 Amity St, Brooklyn, NY 11201-6107
Phone: 7187801014

DR. SUSAN E GOTTLIEB (NPI# 1619961190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619961190
Entity Type Individual
Full Name DR. SUSAN E GOTTLIEB
Credential M..D.
Practice Address 110 Amity St
Brooklyn
NY 11201-6107
Mailing Address 1 Grace Ct
Brooklyn
NY 11201-4195
Practice Telephone 7187801014
Practice Fax Number 7187802849
Mailing Telephone 7188758262
Enumeration Date 2005-09-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
143744 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01137879 05

Other Providers SUSAN GOTTLIEB

NPI Name Taxonomy Address Enumeration
1518269976 Susan Zora Gottlieb Speech-Language Pathologist 445 Central Ave, Suite 111, Cedarhurst, NY 11516 2010-11-17
1154477644 Susan Ellen Gottlieb Psychologist 259 Massachusetts Ave, Arlington, MA 02474-8406 2007-01-26
1265525109 Susan Jill Gottlieb Psychologist 23800 Orchard Lake Rd, Suite #104, Farmington Hills, MI 48336-2560 2006-10-02
1952363988 Susan Gottlieb Radiology 150 E Sunrise Hwy, Lindenhurst, NY 11757-2539 2006-04-05

Office Location

Street Address 110 AMITY ST
City BROOKLYN
State NY
Zip Code 11201-6107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528015492 Lamm Institute At Lich Pediatrics 110 Amity St, Brooklyn, NY 11201-6107 2006-05-27

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NPI Name Taxonomy Address Enumeration
1992322267 Sohrab Singh Student in an Organized Health Care Education/Training Program House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 2020-07-02
1841812880 Tara Elizabeth Buentello Social Worker C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 2020-05-13
1760017842 New York University Dentist 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 2020-03-09
1851924294 Tbhc Medical Services PC Clinic/Center 514 Fulton Street, Brooklyn, NY 11201 2020-02-13
1962040246 Community Health Project Inc. Clinic/Center 40 Flatbush Avenue Extension, Brooklyn, NY 11201 2019-12-17
1558908731 Ghalab Ali Alhashidi Pharmacist 250 Pacific St Apt#26, Brooklyn, NY 11201 2019-12-05
1396394524 Avis A Sanderson Specialist 1 Pierre Point Plaza, Brooklyn, NY 11201 2019-09-10
1316501380 Alice Weijia Huang Social Worker 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 2019-04-25
1093274474 Wts Medical Staffing, LLC Home Health 195 Montague St 14th Fl, Brooklyn, NY 11201 2019-03-15
1366927048 Anna House Social Worker 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 2018-09-28
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336746403 Four Boroughs Aba Pediatrics 1344 E 24th St, Brooklyn, NY 11210-5143 2020-10-02
1992873145 Hazel Goodwin Pediatrics 1979 Rockaway Parkway, Brooklyn, NY 11236 2006-12-04
1750646451 David S Healey Pediatrics 506 6th St, Brooklyn, NY 11215-3609 2012-07-09
1306015532 Hazel Goodwin Md Pediatrics 1979 Rockaway Parkway, Brooklyn, NY 11236 2008-02-21
1518047737 Beata Dygulska Pediatrics 263 7th Ave, Brooklyn, NY 11215-3689 2006-10-16
1528015492 Lamm Institute At Lich Pediatrics 110 Amity St, Brooklyn, NY 11201-6107 2006-05-27
1942254404 Hugh Bases Pediatrics 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 2006-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447881735 Jihee Chae Pediatrics 60 Wishing Ln, Hicksville, NY 11801-6423 2020-01-27
1235693730 Sally Joanne Marotta Reed Pediatrics 5292 Cambria Rd, Sanborn, NY 14132-9412 2019-01-29
1063982817 Jessica Elizabeth Sapio Pediatrics 125 Currier Ave, Sloan, NY 14212-2222 2018-12-04
1093293037 Apf Therapeutic Services Inc Pediatrics 918 E 218th St Fl 1, Bronx, NY 10469-1006 2018-08-01
1679003552 Lauren Jennifer Elchonen Pediatrics 18 N Cheryl St, Spring Valley, NY 10977-6510 2017-06-14
1295107183 Spandana Nallapati Pediatrics 1510 Lexington Ave Apt 4n, New York, NY 10029-7154 2015-10-30
1275802811 Icahn School of Medicine At Mount Sinai Pediatrics 500 7th Ave Fl 8, New York, NY 10018-4502 2011-12-28
1770870040 Aleeya Healey Pediatrics 391 Myrtle Ave Ste 3b, Albany, NY 12208-3835 2011-07-07
1205045309 Bharati R Shah Pediatrics 9 Wilbur Rd, Hudson Valley Ddso, Thiells, NY 10984-0470 2007-05-22
1497964589 Rohitkumar K Shah Pediatrics 9 Wilbur Road, Hudson Valley Ddso, Thiells, NY 10984-0470 2007-05-22
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Competitor

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City BROOKLYN
Zip Code 11201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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