Individual
EMMANUEL GUTIERRZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 W 170TH ST APT 5B, NEW YORK, NY 10032-3229
(718) 629-7313
Mailing address
635 W 170TH ST APT 5B, NEW YORK, NY 10032-3229
(718) 629-7313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008066-01
NY
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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