Individual
DR. GARY KOUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
68 HARRIS BUSHVILLE RD, HARRIS, NY 12742
(845) 791-7828
Mailing address
68 HARRIS BUSHVILLE RD, HARRIS, NY 12742
(845) 791-7828
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
138528
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25MA07301100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00382178
—
NY
05
—
8747407
—
NJ
Enumeration date
11/07/2006
Last updated
05/18/2016
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