Individual
JASON GOUTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD., WESTCHESTER MEDICAL CENTER, VALHALLA, NY 10595
(914) 493-6616
(914) 493-5827
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
286032
NY
208M00000X
Hospitalist Physician
Primary
286032
NY
Other
Enumeration date
09/05/2013
Last updated
08/10/2016
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