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General NPI Number Information
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NPI Number | 1427098573
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Entity Type | Individual
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Provider Name | DANIEL B. GOLLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1228
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 212-241-3619
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Fax | 212-289-4096
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Provider Business Mailing Address
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Address Line | 351 BELGROVE DR APT. 2
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City | KEARNY
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State | NJ
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Zip | 07032-1626
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Country | US
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Telephone | 201-991-0880
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 225019
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License Number State | NY
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