Individual
FLORENCE GUTTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 SIXTH STREET, THE METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3159
(610) 617-6280
Mailing address
PO BOX 681, VAN BRUNT STATION PARK SLOPE EMERGENCY PHYSICIAN SERVIC, BROOKLYN, NY 11215
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02051889
—
NY
Enumeration date
07/17/2006
Last updated
04/18/2008
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