Individual
MR. ALAN JAY GUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
91 CHENANGO BRIDGE RD, BINGHAMTON, NY 13901-1293
(607) 648-4151
(607) 648-7138
Mailing address
91 CHENANGO BRIDGE RD, BINGHAMTON, NY 13901-1293
(607) 648-4151
(607) 648-7138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028443772
—
NY
Enumeration date
07/26/2005
Last updated
10/05/2015
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