Individual
GUSTA VEITNERE SHURDUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16TH STREET AT 1ST AVENUE, 4D, NEW YORK, NY 10019-3218
(212) 420-4679
Mailing address
16TH STREET AT 1ST AVE, NEW YORK, NY 10019-3218
(917) 669-1748
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29939401
NY
Other
Enumeration date
03/24/2017
Last updated
06/13/2021
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