IndividualActive
Adam Gottlieb
NPI 1154938611 · Adult Health Nurse Practitioner · Massapequa Park, NY
Provider details
- NPI number
- 1154938611
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 309995 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
387 Ocean Ave
Massapequa Park, NY 11762-1623
Phone: (516) 528-4329
Approximate (ZIP-level) locationGet directions
Mailing address
387 Ocean Ave
Massapequa Park, NY 11762-1623
Registry dates
- Enumerated
- 2020-09-29
- Last updated
- 2020-09-29
- Certified
- 2020-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.