Provider Demographics
NPI:1770539660
Name:GOTTESMAN, MELISSA E (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:E
Last Name:GOTTESMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:158 W 27TH ST
Mailing Address - Street 2:11TH FL S
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6216
Mailing Address - Country:US
Mailing Address - Phone:212-563-2497
Mailing Address - Fax:212-563-0605
Practice Address - Street 1:DAVIS AVENUE AT EAST POST ROAD
Practice Address - Street 2:WHITE PLAINS HOSPITALIST DEPT
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4615
Practice Address - Country:US
Practice Address - Phone:914-681-2560
Practice Address - Fax:914-681-2590
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2009-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY203808208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1842535OtherUNITED HEALTHCARE
NY5360615OtherAETNA - PPO
NYP3659664OtherOXFORD HEALTH PLANS
NY3144344OtherAETNA - HMO
NY4C8265OtherHEALTH NET
NY8243508OtherCIGNA
NY7B3241OtherEMPIRE BC/BS
NYP3659664OtherOXFORD HEALTH PLANS