Individual
SUSANA GUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS,RDCS, RVT
Contact information
Practice address
10811A 66TH AVE, FOREST HILLS, NY 11375-2247
(718) 838-4533
(888) 645-9398
Mailing address
10811A 66TH AVE, FOREST HILLS, NY 11375-2247
(718) 838-4533
(888) 645-9398
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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