Individual
LAURA GUTTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2791 RICHMOND AVE, STATEN ISLAND, NY 10314-5882
(718) 494-9257
Mailing address
2791 RICHMOND AVE, STATEN ISLAND, NY 10314-5882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008426
NEW YORK OD
NY
Enumeration date
06/17/2016
Last updated
09/15/2020
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