Philip D Gottlieb, MD | |
169 Riverside Dr, Binghamton, NY 13905-4246 | |
(607) 798-5223 | |
(607) 798-5187 |
Full Name | Philip D Gottlieb |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 169 Riverside Dr, Binghamton, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891789541 | NPI | - | NPPES |
01086704 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 134701 (New York) | Primary |
Entity Name | St Lawrence Radiology Assoc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154380863 PECOS PAC ID: 2264421122 Enrollment ID: O20040507000290 |
Entity Name | Olean Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700829850 PECOS PAC ID: 9133118862 Enrollment ID: O20040508000177 |
Mailing Address | Practice Location Address |
---|---|
Philip D Gottlieb, MD 5 W State St, Binghamton, NY 13901-2322 Ph: (607) 772-9462 | Philip D Gottlieb, MD 169 Riverside Dr, Binghamton, NY 13905-4246 Ph: (607) 798-5223 |
Brian Tischler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 Front St, Binghamton, NY 13905 Phone: 607-778-3938 Fax: 607-778-2873 | |
Thomas Wigginton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 434-321-8466 | |
Mr. Srinivas Bonthu, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 518-786-1291 Fax: 518-786-1293 | |
Robert Caserta, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 | |
Alexander Y Podvezko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 | |
Philip Goodman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5223 Fax: 607-798-6187 |