Individual
DR. MARK GURTOVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7620 BAY PKWY STE 1-B, BROOKLYN, NY 11214-1516
(718) 232-1492
(718) 232-4505
Mailing address
7620 BAY PKWY STE 1-B, BROOKLYN, NY 11214-1516
(718) 232-1492
(718) 232-4505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200341
NY
2084P0800X
Psychiatry Physician
MA 67468
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740601
—
NY
05
—
8364605
—
NJ
Enumeration date
07/23/2006
Last updated
07/19/2010
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