Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 243821 | NY |
NPI | 1053556852 |
---|---|
Provider Name | Emma Guttman |
First Address | New York, NY 10065-7994 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2008 |
Last Update Date | 09/06/2011 |