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Individual

DR. GAIL DIANA GUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
410 LAKEVILLE RD STE 108, NEW HYDE PARK, NY 11042-1102
(516) 465-3270
(516) 465-5299
Mailing address
410 LAKEVILLE RD STE 108, NEW HYDE PARK, NY 11042-1102
(516) 465-3270
(516) 465-5299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
308965
NY
2080A0000X
Pediatric Adolescent Medicine Physician
308965
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2018
Last updated
06/14/2024
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