Individual
DR. CLARIS A GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 E 22ND ST, NEW YORK, NY 10010-5332
(212) 460-7800
(212) 460-7877
Mailing address
55 WATER ST, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
277460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04091952
—
NY
Enumeration date
05/06/2013
Last updated
09/12/2019
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