Individual
MANUEL LEGZSPI GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
563 TEMPLE HILL ROAD, NEW WINDSOR, NY 12553
(845) 565-0455
Mailing address
563 TEMPLE HILL ROAD, NEW WINDSOR, NY 12553
(845) 565-0455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
175778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01123115
—
NY
Enumeration date
10/02/2006
Last updated
07/08/2007
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