Individual
CINDY GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
636 NASSAU AVE, FREEPORT, NY 11520-6323
(347) 320-1360
Mailing address
636 NASSAU AVE, FREEPORT, NY 11520-6323
(347) 320-1360
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1755516231
NY
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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