Individual
DR. GABRIELLE STUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
303 5TH AVE, SUITE 907, NEW YORK, NY 10016-6601
(212) 254-7390
Mailing address
116 ROUND HILL RD, DOBBS FERRY, NY 10522-3305
(914) 693-5045
(914) 693-5044
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01089041
—
NY
01
—
WCS071316B
WORKERS COMP
NY
Enumeration date
08/23/2005
Last updated
10/02/2012
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