Individual
MR. GARY M GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C, CCRN
Contact information
Practice address
1050 CLOVE RD, HOSPITALIST, STATEN ISLAND, NY 10301-3627
(718) 816-6440
Mailing address
55 WATER ST, 12TH FLOOR, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00423300
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F306162-1
NY
Other
Enumeration date
02/04/2013
Last updated
02/07/2017
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