Provider Demographics
NPI:1407274053
Name:GOTSCHLICH, EMILY CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CLAIRE
Last Name:GOTSCHLICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 E 26TH ST
Mailing Address - Street 2:APT. 16E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1915
Mailing Address - Country:US
Mailing Address - Phone:917-679-0826
Mailing Address - Fax:
Practice Address - Street 1:334 E 26TH ST
Practice Address - Street 2:APT. 16E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1915
Practice Address - Country:US
Practice Address - Phone:917-679-0826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program