Michael S Gottlieb, FNP-BCANCCMSN
Michael S Gottlieb, FNP-BCANCCMSN is a Nurse Practitioner in Ronkonkoma, New York. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 10
- Licensed in
- NY
- In the registry since
- 2017
Practice location Address checks out
500 Peconic St 92ARonkonkoma, NY 11779-7100
Phone: (631) 833-0696
Fax: (206) 350-1094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence F-341691 (NY) |
|---|
Record details
| NPI number | 1215462205 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP-BCANCCMSN |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2017 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | October 23, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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MS. Michele Ann Kelly, CPNPNPP
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Amanda Nuzzi, NP
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