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Individual

IRINEY GUTNIKEVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 431-5629
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
226211
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02387479
NY
01
CB1521
RAILROAD MEDICARE GROUP
NY
01
P00325880
RAILROAD MEDICARE
NY
Enumeration date
04/20/2006
Last updated
11/02/2009
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