Individual
SHOLOM GUTLEIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 EASTERN PKWY, BROOKLYN, NY 11213-4801
(917) 671-8557
Mailing address
750 LEFFERTS AVE APT A5, BROOKLYN, NY 11203-1220
(917) 671-8557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36193
NY
Other
Enumeration date
07/28/2021
Last updated
08/11/2021
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