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Individual

LEE GUTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4050 HARLEM RD, AMHERST, NY 14226-4711
(716) 803-1504
(716) 803-1508
Mailing address
550 ORCHARD PARK ROAD, SUITE A105, WEST SENECA, NY 14224
(716) 677-6000
(716) 677-6006

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
187667-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00524219007
BLUE CROSS/BLUE SHIELD
NY
05
01651876
NY
01
0608050
INDEPENDENT HEALTH
NY
Enumeration date
07/14/2006
Last updated
06/21/2010
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