Vyacheslav Gotlib, L.AC , MSAC , RN

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

003141 Issued in NY

Practice address

225 Broadway
#2018
New York, NY 10007-3001

Phone

(212) 693-4010

NPI assigned

Dec 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1447433487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LEGION PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052802",
            "telephone_number": "718-442-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "#2018",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "212-693-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTLIB",
        "first_name": "VYACHESLAV",
        "credential": "L.AC , MSAC , RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gotham Vascular Surgery PC
• Gotham Wellness LLC
• Atlantis Axel Gothe, LMHC
• Rachel Dorf Gotler, PSY.D.
• Efrat Gotlib, LCSW
• Evelyn Gotlieb
• Rachel Hannah Gotlieb, MSOT, OTR/L
• Matthew Gotlin, M.D.
• Dimitry Gotlinsky, PHARMD.
• Norihiro Goto, MD

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.