Individual
JOANNA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
Mailing address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
1285628552
AGENCY
NY
01
—
WVE061
MEDICARE
NY
Enumeration date
11/06/2015
Last updated
11/06/2015
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