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Individual

DR. LINDA M GULOTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
195 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577-1955
(516) 625-2555
Mailing address
2506 ARMY PL, BELLMORE, NY 11710-4807
(516) 625-2555

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004668-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115186
EYEMED
NY
01
5150717
AETNA/US HEALTHCARE
NY
01
916695
UNITED HEALTHCARE
NY
01
P3799735
OXFORD
NY
Enumeration date
01/04/2007
Last updated
11/02/2007
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