| NPI | 1114380383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GLENN GUTERMAN M.D./Owner 917-902-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: NY 266135-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 266135-1) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 266135-1) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |