Individual
ANNA SHEINA GUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1550 RICHMOND AVE STE 205, STATEN ISLAND, NY 10314-1578
(718) 982-7800
(718) 982-7722
Mailing address
97 NEW DORP LN STE A, STATEN ISLAND, NY 10306-2364
(718) 876-6220
(718) 876-5969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303751
NY
207RN0300X
Nephrology Physician
Primary
303751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05961591
—
NY
Enumeration date
05/19/2015
Last updated
12/04/2024
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