Individual
KEARNEY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 N BROOKSIDE AVE, FREEPORT, NY 11520-1931
(516) 430-8521
Mailing address
156 N BROOKSIDE AVE, FREEPORT, NY 11520-1931
(516) 430-8521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
521791346
NY
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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