Organization
CELESTIAL SONO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSANA GUTMAN RDMS,RDCS,RVT (PRESIDENT)
(718) 459-3324
Entity
Organization
Contact information
Practice address
10811A 66TH AVE, FOREST HILLS, NY 11375-2247
(718) 459-3324
Mailing address
10811A 66TH AVE, FOREST HILLS, NY 11375-2247
(718) 459-3324
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
39538
NY
2471S1302X
Sonography Radiologic Technologist
39538
NY
2471V0105X
Vascular Sonography Radiologic Technologist
39538
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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