Organization
GUTKOVICH ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY GUTKOVICH O.D., M.B.A. (DIRECTOR)
(718) 631-8211
Entity
Organization
Contact information
Practice address
1850 VETERANS MEMORIAL HIGHWAY, ISLANDIA, NY 11749
(631) 851-1564
(631) 851-1688
Mailing address
24237A OAK PARK DR, DOUGLASTON, NY 11362-2624
(718) 631-8211
(631) 851-1688
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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