| Nilsa S Gutierrez Md Pllc | |
|
1045 Glen Cove Ave Roslyn NY 11576-1206 | |
| (201) 679-2993 | |
| Not Available |
| Full Name | Nilsa S Gutierrez Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1045 Glen Cove Ave, Roslyn, New York |
| Authorized Official Name and Position | Nilsa Socorro Gutierrez (MANAGING MEMBER) |
| Authorized Official Contact | 2016792993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nilsa S Gutierrez Md Pllc 702 Penn Ave Teaneck NJ 07666-1611 Ph: (201) 679-2993 | Nilsa S Gutierrez Md Pllc 1045 Glen Cove Ave Roslyn NY 11576-1206 Ph: (201) 679-2993 |
| NPI Number | 1225654486 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225654486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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