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Individual

MISS DIANNA VALERIA GUTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN., ANP., GNP-C

Contact information

Practice address
1 PENN PLZ, 8TH FLOOR, NEW YORK, NY 10119-0002
(646) 831-7852
Mailing address
744 GRIER AVE, ELIZABETH, NJ 07202-2524
(201) 452-8319

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
485599-1
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F340579-1
NY

Other

Enumeration date
12/05/2006
Last updated
07/28/2015
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