| Dr Noah Gutierrez Md Pc | |
|
110 Stage Rd Monroe NY 10950-3513 | |
| (845) 320-3838 | |
| Not Available |
| Full Name | Dr Noah Gutierrez Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Stage Rd, Monroe, New York |
| Authorized Official Name and Position | Noah Gutierrez (MD) |
| Authorized Official Contact | 8453203838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Noah Gutierrez Md Pc 110 Stage Rd Monroe NY 10950-3513 Ph: (845) 320-3838 | Dr Noah Gutierrez Md Pc 110 Stage Rd Monroe NY 10950-3513 Ph: (845) 320-3838 |
| NPI Number | 1487256863 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 11/11/2020 |
| Medicare PECOS PAC ID | 3779996863 |
|---|---|
| Medicare Enrollment ID | O20210111000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487256863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Noah Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699083154 PECOS PAC ID: 3577731934 Enrollment ID: I20150729009354 |
| Provider Name | Dovid Flohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568130631 PECOS PAC ID: 1658760624 Enrollment ID: I20211112000504 |
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