Provider Demographics
NPI:1245790716
Name:GOTTESDIENER, LEE SOLOMON (MD)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:SOLOMON
Last Name:GOTTESDIENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:505 E 70TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:212-746-9663
Mailing Address - Fax:212-746-3609
Practice Address - Street 1:1315 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5304
Practice Address - Country:US
Practice Address - Phone:646-962-8747
Practice Address - Fax:646-962-0152
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY333213207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease