Individual
MICAELA GUTLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
250 FULTON AVE, HEMPSTEAD, NY 11550-3917
(516) 566-0658
Mailing address
250 FULTON AVE STE 607, HEMPSTEAD, NY 11550-3901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407111
NY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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