Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 016020 | NY |
NPI | 1033284237 |
---|---|
Provider Name | Mr. Allan Anthony Gutierrez |
First Address | Highland Mills, NY 10930-8307 |
Second Address | New Windsor, NY 12553-5503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 20/10/2011 |