Individual
ELIZA GUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
13 BENTLEY AVE # A, JERSEY CITY, NJ 07304-1901
(718) 755-5859
Mailing address
13 BENTLEY AVE # A, JERSEY CITY, NJ 07304-1901
(718) 755-5859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2387688
NY
Other
Enumeration date
06/19/2012
Last updated
07/15/2015
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