DAVID M GOTTESMAN (NPI# 1104155159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104155159 |
| Entity Type | Individual |
| Full Name | DAVID M GOTTESMAN |
| Credential | MEDICAL DOCTOR |
| Practice Address |
104 Fish Hollow Rd North Creek NY 12853-3502 |
| Practice Telephone | 5184945044 |
| Practice Fax Number | 5184945044 |
| Mailing Telephone | 5184945044 |
| Mailing Fax Number | 5184945044 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
099114 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205929924 | David Gottesman | Psychologist | One Washington Street, Suite 305, Wellesley, MA 02481 | 2006-10-02 |
| 1770686651 | David Lawrence Gottesman | Internal Medicine | 5900 Landerbrook Dr, Suite 190, Mayfield Hts, OH 44124-4020 | 2006-09-06 |
| Street Address |
104 FISH HOLLOW RD |
| City | NORTH CREEK |
| State | NY |
| Zip Code | 12853-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508350281 | Anne Margaret Van Huben | Occupational Therapist | Elderwood At North Creek, 112 Ski Bowl Road, North Creek, NY 12853 | 2018-06-18 |
| 1952785149 | Lynn Micha May | Speech-Language Pathologist | 112 Sk. Bowl Road, Adirondack Tri-county Nursing and Rehabilitation Center, North Creek, NY 12853 | 2015-07-17 |
| 1245479534 | Lori P Benton | Massage Therapist | 260 Main St., North Creek, NY 12853 | 2009-02-11 |
| 1801033279 | Deidre M. Convery-bernard | Speech-Language Pathologist | 301 Cobble Creek Rd, North Creek, NY 12853 | 2009-01-07 |
| 1235113804 | Johnsburg Emergency Squad Inc | Ambulance | 624 Peaceful Valley Road, North Creek, NY 12853 | 2005-12-06 |
| 1578550042 | Adirondack Tri-county Nursing and Rehabilitation Center, Inc | Skilled Nursing Facility | 112 Ski Bowl Rd, North Creek, NY 12853 | 2005-09-30 |
| 1972020634 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 284 Main St, North Creek, NY 12853 | 2017-08-24 |
| 1649412982 | Michael Graham Miles | Internal Medicine | 112 Ski Bowl Rd, North Creek, NY 12853 | 2009-04-01 |
| 1245493121 | Diana Lynn Dymond-burna | Physical Therapist | 112 Ski Bowl Road, North Creek, NY 12853 | 2008-07-09 |
| 1710172713 | Jill L Hodgson | Occupational Therapist | 165 Main Street, North Creek, NY 12853 | 2007-09-12 |
| Find all providers in zip 12853 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CREEK |
| Zip Code | 12853 |
Please comment or provide details below to improve the information on DAVID M GOTTESMAN.
| 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.