Individual
VLAD GUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPT
Contact information
Practice address
764 MANHATTAN AVE, BROOKLYN, NY 11222
(718) 349-8313
Mailing address
764 MANHATTAN AVE, BROOKLYN, NY 11222
(718) 349-8313
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007213
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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