# CELESTIAL SONO, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205111788
- **Authorized official:** MRS. SUSANA GUTMAN RDMS,RDCS,RVT (PRESIDENT)
- **Authorized official phone:** (718) 459-3324

## Contact information

- **Practice address:** 10811A 66TH AVE, FOREST HILLS, NY 11375-2247
- **Practice address phone:** (718) 459-3324
- **Mailing address:** 10811A 66TH AVE, FOREST HILLS, NY 11375-2247
- **Mailing address phone:** (718) 459-3324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246XS1301X | Sonography Specialist/Technologist Cardiovascular | 39538 | NY | Yes |
| 2471S1302X | Sonography Radiologic Technologist | 39538 | NY | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | 39538 | NULL | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | 39538 | — | — |

## Other

- **Enumeration date:** 10/17/2011
- **Last updated:** 10/17/2011